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Individual

WASFI A MAKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 CORAL SANDS DR, ROCKLEDGE, FL 32955-2749
(321) 632-3400
(321) 632-1766
Mailing address
211 CORAL SANDS DR, ROCKLEDGE, FL 32955-2749
(321) 632-3400
(321) 632-1766

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0056764
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10141
BLUE SHIELD
FL
01
950480
AETNA
FL
Enumeration date
08/28/2006
Last updated
07/08/2007
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