Individual
DR. MARK J POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9077 S FEDERAL HWY, PORT ST LUCIE, FL 34952-3405
(772) 335-4770
(772) 335-4133
Mailing address
9077 S FEDERAL HWY, PORT ST LUCIE, FL 34952-3405
(772) 335-4770
(772) 335-4133
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 55625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10496
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/28/2006
Last updated
02/18/2020
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