Individual
MARK A FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21110 BISCAYNE BLVD, 312, AVENTURA, FL 33180-1227
(305) 933-3030
(305) 933-1436
Mailing address
21110 BISCAYNE BLVD, #312, AVENTURA, FL 33180-1227
(305) 933-3030
(305) 933-1436
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME47978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0750NSHR
NEIGHBORHOOD HEALTH
FL
01
—
103541
AVMED
FL
Enumeration date
01/09/2006
Last updated
12/15/2025
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