Organization
MARCUS MASON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS MASON M.D. (PRESIDENT)
(305) 803-4371
Entity
Organization
Contact information
Practice address
1950 NW 55TH TER, MIAMI, FL 33142-3046
(305) 803-4371
(305) 634-5204
Mailing address
1950 NW 55TH TER, MIAMI, FL 33142-3046
(305) 803-4371
(305) 634-5204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME83825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2693364
—
FL
Enumeration date
07/02/2007
Last updated
08/24/2007
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