Individual
MARK AGRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 HERITAGE DR STE 201, JUPITER, FL 33458-3029
(561) 624-5311
(561) 625-4624
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME87650
FL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
ME87650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000737000
—
FL
05
—
07033291
—
MS
05
—
1169358
—
LA
Enumeration date
06/25/2006
Last updated
09/20/2022
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