Organization
MARK E. JAWAHIR PA
Active
Organization
MARK E. JAWAHIR PA
Active
Other names
Diamond Vein and Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EVANGELIST JAWAHIR MD (PRESIDENT)
(863) 402-0244
Entity
Organization
Contact information
Practice address
1763 US HIGHWAY 27 S, SEBRING, FL 33870-4920
(863) 402-0244
(863) 402-0243
Mailing address
PO BOX 548, SEBRING, FL 33871-0548
(863) 402-0244
(863) 402-0243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME64562
FL
Other
Enumeration date
06/07/2007
Last updated
09/19/2012
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