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Individual

DR. MARK LAMET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4350 SHERIDAN ST STE 101, HOLLYWOOD, FL 33021-3556
(954) 961-7771
(954) 961-9633
Mailing address
4350 SHERIDAN ST STE 101, HOLLYWOOD, FL 33021-3556
(954) 961-7771
(954) 961-9633

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
101902
WI
207RG0100X
Gastroenterology Physician
Primary
ME0037518
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040545100
FL
05
100284887
WI
01
592440295
CORP TAX ID
FL
Enumeration date
05/15/2006
Last updated
08/26/2024
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