Organization
MARK E JAWAHIR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTRY SETSER (PRES)
(800) 333-9800
Entity
Organization
Contact information
Practice address
1763 US HIGHWAY 27 S, SEBRING, FL 33870-4920
(863) 402-0244
(863) 402-0243
Mailing address
1763 US HIGHWAY 27 S, SEBRING, FL 33870-4920
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME64562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016078
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/13/2006
Last updated
08/22/2020
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