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Organization

MARK S WILLNER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK S. WILLNER M.D. (PRESIDENT)
(954) 851-9690
Entity
Organization

Contact information

Practice address
14201 W SUNRISE BLVD, SUITE 208, SUNRISE, FL 33323-3207
(954) 851-9690
(954) 851-9688
Mailing address
3820 WINDMILL LAKES RD, WESTON, FL 33332-2107
(954) 851-9690
(954) 851-9688

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
08/20/2007
Last updated
06/24/2010
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