# MARIO E PROFET

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487795092
- **Gender:** Man
- **Credential:** MD, RDMS, RDCS, RPVI

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ACN304 | FL | — |
| 208D00000X | General Practice Physician | ME135981 | FL | Yes |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | 76083 | — | — |
| 2471S1302X | Sonography Radiologic Technologist | 76083 | — | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | 76083 | — | — |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 10/24/2019