Organization
MARK AND KAMBOUR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRATTENDICK (CFO)
(561) 514-5822
Entity
Organization
Contact information
Practice address
16250 NW 59TH AVE STE 201, MIAMI LAKES, FL 33014-7542
(866) 825-4422
(844) 751-9263
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME35456
FL
Other
Enumeration date
07/30/2008
Last updated
09/05/2023
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