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Individual

MARK D FASBINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
651 E 25TH ST, HIALEAH, FL 33013-3814
(305) 665-4614
Mailing address
5901 SW 74TH ST, SUITE 202, MIAMI, FL 33143-5165
(305) 665-4614

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME14398
FL

Other

Enumeration date
07/10/2006
Last updated
07/08/2007
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