Mark Broudo in West Miami - Plastic Surgery

Mark Broudo - NPI 1750344719

Mark Broudo is a Plastic Surgery in West Miami, Florida. Mark Broudo practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Mark Broudo is 1750344719. The last update date is 2010-11-09.

Mark Broudo's current location address is 1100 Sw 57th Ave Ste 100, West Miami, Florida. You can contact this provider via phone number 3052626484 and fax number 3052636370. The mailing address for Mark Broudo is 1100 Sw 57th Ave Ste 100, West Miami, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Broudo
Address 1100 Sw 57th Ave Ste 100, West Miami, Florida
Phone Number 3052626484
Fax Number 3052636370
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1750344719
Provider Enumeration Date 2006-04-10
Last Updated Date 2010-11-09

Provider Mailing Address Detail

Address 1100 Sw 57th Ave Ste 100
City West Miami
State Florida (FL)
Post Code 331445129
Phone Number 3052626484
Fax Number 3052636370

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No ME74337
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

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FAQs about Mark Broudo

What is the unique 10-digit identification code issued to Mark Broudo by the Centers for Medicare & Medicaid Services?

The Mark Broudo has been assigned the NPI (National Provider Identifier) 1750344719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Mark Broudo located?

The Mark Broudo is located at 1100 Sw 57Th Ave Ste 100, West Miami, FL 331445129.

What is the area of specialization for Mark Broudo, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mark Broudo is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1750344719 to Mark Broudo?

The Mark Broudo received its 1750344719 assignment from the Centers for Medicare & Medicaid Services on 2006-04-10.

As of what date were the details related to Mark Broudo most recently updated or revised?

The information pertaining to Mark Broudo, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-09.

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