Organization
MARK P. CARUSO M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PETER CARUSO M.D. (PRESIDENT)
(305) 630-3300
Entity
Organization
Contact information
Practice address
7101 SW 99TH AVE, SUITE 108, MIAMI, FL 33173-4661
(305) 630-3300
(305) 630-2558
Mailing address
7101 SW 99TH AVE, SUITE 108, MIAMI, FL 33173-4661
(305) 630-3300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0039540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067489300
—
FL
Enumeration date
10/19/2010
Last updated
10/19/2010
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