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Individual

MARK W MUNRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6878
(321) 843-2172
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 843-5851
(321) 843-2191

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME87118
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
267211100
FL
01
ME87118
MEDICAL LICENSE
FL
Enumeration date
01/24/2006
Last updated
06/25/2021
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