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Individual

MARK ANTHONY BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6810 SW 8TH ST, NORTH LAUDERDALE, FL 33068-2513
(954) 245-8031
Mailing address
6810 SW 8TH ST, NORTH LAUDERDALE, FL 33068-2513
(954) 245-8031

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B650541893850
FL

Other

Enumeration date
08/03/2021
Last updated
08/03/2021
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