Individual
MARK Y. NAKAJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(954) 265-5423
(954) 962-6974
Mailing address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(954) 265-5423
(954) 962-6974
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME105883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149EH
BCBS
FL
01
—
XXX-XX-2080
CHAMPUS / TRICARE SOUTH REGION
—
Enumeration date
06/01/2007
Last updated
03/26/2021
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