Organization
LISA E. MARK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARK MD (OWNER)
(954) 330-8604
Entity
Organization
Contact information
Practice address
9917 PINES BLVD, PEMBROKE PINES, FL 33024-6174
(954) 330-8604
Mailing address
3701 TYLER ST APT 116, HOLLYWOOD, FL 33021-6827
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME100791
FL
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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