Individual
DR. MARK ANTHONY JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136
(305) 585-5215
Mailing address
245 NE 14TH ST APT 1004, MIAMI, FL 33132-1614
(786) 899-3038
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
137255
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2013
Last updated
07/15/2018
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