Individual
MARK S AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7887 N KENDALL DR, STE 101, MIAMI, FL 33156-7494
(305) 273-6266
(305) 273-6520
Mailing address
7887 N KENDALL DR STE 101, MIAMI, FL 33156-7494
(305) 273-6266
(305) 273-6520
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME54241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18292
BC/BS
FL
05
—
370855100
—
FL
Enumeration date
12/27/2005
Last updated
06/07/2024
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