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

Mark Lathrop, CRNA

Individual provider Registered Nurse · NPI 1003598368

Mark Lathrop, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2023, 3 years ago. Practices with Mission Health Community Multispecialty Providers LLC, a 598-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2449 Blackbeard Dr
Jacksonville, FL 32224-1139
Phone: (904) 238-0070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 148709 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9415770 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11032408 (FL)

Record details

NPI number1003598368
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 4, 2023
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address2449 Blackbeard Dr, Jacksonville, FL 32224-1139

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mission Health Community Multispecialty Providers Llc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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