Organization
MARK NAGRANI, MD INC
Active
Other names
United Pathologist Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NAGRANI MD (DIRECTOR)
(386) 423-5500
Entity
Organization
Contact information
Practice address
612 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
(386) 423-5500
Mailing address
612 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800020973
FL
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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