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Organization
SOUTHMED
Active
Organization
SOUTHMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A BAURR (OFFICE MANAGER)
(305) 295-3838
Entity
Organization
Contact information
Practice address
3138 NORTHSIDE DR, KEY WEST, FL 33040-8028
(305) 295-3838
(305) 295-7772
Mailing address
3138 NORTHSIDE DR, KEY WEST, FL 33040-8028
(305) 295-3838
(305) 295-7772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME77622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25768102
—
FL
Enumeration date
11/14/2006
Last updated
08/22/2020
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