Individual
DR. MARK BROUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 SW 57TH AVE STE 100, WEST MIAMI, FL 33144-5129
(305) 262-6484
(305) 263-6370
Mailing address
1100 SW 57TH AVE STE 100, WEST MIAMI, FL 33144-5129
(305) 262-6484
(305) 263-6370
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME74337
FL
Other
Enumeration date
04/10/2006
Last updated
11/09/2010
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