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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