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:
Health care specialties
Specialty | Code | License # | 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 14 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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