Individual
MR. MARK DANIEL DHOOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
(954) 390-7654
(954) 390-7618
Mailing address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
(954) 390-7654
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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