Organization
MARK BROUDO M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BROUDO MD (PRESIDENT)
(305) 262-6484
Entity
Organization
Contact information
Practice address
1100 SW 57TH AVE, SUITE 100, WEST MIAMI, FL 33144-5129
(305) 262-6484
Mailing address
1100 SW 57TH AVE, SUITE 100, WEST MIAMI, FL 33144-5129
(305) 262-6484
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME74337
FL
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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