Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Konicki, MD

Individual provider Internal Medicine Physician · NPI 1649250523

Mark Konicki, MD is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida and Indiana. Registered with an NPI since 2006.

Licensed in
FL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone: (904) 364-3649
Fax: (904) 357-5627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME60881 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence 01071892A (IN)

Record details

NPI number1649250523
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESMay 17, 2016

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