Broudo, Mark

Broudo, Mark is an sole proprietor health care provider with primary practice located at 1100 Sw 57Th Ave Ste 100 , West Miami FL 33144-5129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Broudo, Mark can be contacted via phone (305) 262-6484.

Contact Information

Primary practice address
1100 Sw 57Th Ave Ste 100 West Miami FL 33144-5129
Phone: (305) 262-6484
Fax: (305) 263-6370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME74337 Florida

Profile Details

NPI number 1750344719
LBN Legal business name Broudo, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2006
Last updated Nov 9th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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