MEDICARE: MARK SARACINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1134106941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK SARACINO

Provider Business Mailing Address
First Line	:	2155 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3319
Country	:	US
Telephone Number	:	305-643-6525
Fax Number	:	305-643-6524

Provider Business Practice Location Address
First Line	:	2155 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3319
Country	:	US
Telephone Number	:	305-643-6525
Fax Number	:	305-643-6524

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	07/09/2007

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Directions to “ MARK SARACINO ” Practice Location

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