Individual
DIANE VAN DE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8110 ROYAL PALM BLVD, STE 108, CORAL SPRINGS, FL 33065-5742
(954) 341-8288
(954) 341-5156
Mailing address
8110 ROYAL PALM BLVD, STE 108, CORAL SPRINGS, FL 33065-5742
(954) 341-8288
(954) 341-5156
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
ME89688
FL
Other
Enumeration date
06/28/2005
Last updated
07/08/2007
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