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Individual

DR. MARK JOSEPH MAGENHEIM

Active
Find providers by NPI
Individual

DR. MARK JOSEPH MAGENHEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
44765
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2303150
LICENSE REGISTRATION
FL
01
44765
MEDICAL LICENSE NUMBER
FL
Enumeration date
01/02/2007
Last updated
03/07/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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