Individual
MR. MARK H BRODSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2619 SW 147 AVE, MIAMI, FL 33185
(305) 207-0602
Mailing address
8850 SW 72 ST, APT G242, MIAMI, FL 33173
(305) 273-4215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA13087
FL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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