Individual
DR. MARK NICHOLS MCCAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
800 E BROWARD BLVD STE 706, FORT LAUDERDALE, FL 33301-2085
(954) 522-3228
Mailing address
800 E BROWARD BLVD STE 706, FORT LAUDERDALE, FL 33301-2085
(954) 522-3228
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN20065
FL
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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