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General NPI Number Information
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NPI Number | 1366947939
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Entity Type | Organization
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Legal Business Name | MARK J POWERS MD PA FLORIDA ORTHOPAEDIC SPECIALISTS
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 1151 SE INDIAN ST
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City | STUART
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State | FL
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Zip | 34997-5765
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Country | US
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Telephone | 772-335-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 9077 S FEDERAL HWY
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-3405
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Country | US
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Telephone | 772-335-4770
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK J POWERS
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Credential | MD
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Telephone | 772-335-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME55625
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License Number State | FL
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