Individual
DR. MARK E JAWAHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1759 1763 US HWY 27 SOUTH, SEBRING, FL 33870
(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
202K00000X
Phlebology Physician
ME64562
FL
207L00000X
Anesthesiology Physician
ME64562
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME64562
FL
208VP0000X
Pain Medicine Physician
ME64562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23582
BLUE CROSS BLUE SHIELD
FL
05
—
373777200
—
FL
01
—
593506993
AETNA/MULTIPLAN
FL
Enumeration date
01/27/2006
Last updated
09/26/2012
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