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General NPI Number Information
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NPI Number | 1831416676
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Entity Type | Organization
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Legal Business Name | JEFFREY L. MARKS, MD, PA
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 7390 NW 5TH ST SUITE 7
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City | PLANTATION
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State | FL
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Zip | 33317-1610
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Country | US
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Telephone | 954-587-7010
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Fax | 954-587-7010
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Provider Business Mailing Address
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Address Line | 7390 NW 5TH ST SUITE 7
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City | PLANTATION
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State | FL
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Zip | 33317-1610
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Country | US
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Telephone | 954-587-7010
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Fax | 954-587-7010
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY LAWRENCE MARKS
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Credential | MD
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Telephone | 954-587-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 57712
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License Number State | FL
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