Individual
MARY KATHERINE MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MPH, RD, LD/N
Contact information
Practice address
1680 MICHIGAN AVE STE 700, MIAMI BEACH, FL 33139-2551
(305) 469-1416
Mailing address
1680 MICHIGAN AVE STE 700, MIAMI BEACH, FL 33139-2551
(305) 469-1416
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8875
FL
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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