| Mark Azer Inc. | |
|
11050 Griffin Rd Ste 103 Davie FL 33328-3227 | |
| (407) 637-0874 | |
| Not Available |
| Full Name | Mark Azer Inc. |
|---|---|
| Speciality | Dentist |
| Location | 11050 Griffin Rd Ste 103, Davie, Florida |
| Authorized Official Name and Position | Mark Azer (OWNER DENTIST) |
| Authorized Official Contact | 4076370874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Azer Inc. 11050 Griffin Rd Ste 103 Davie FL 33328-3227 | Mark Azer Inc. 11050 Griffin Rd Ste 103 Davie FL 33328-3227 Ph: (407) 637-0874 |
| NPI Number | 1588488985 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588488985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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