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Contact Information

MARK AND KAMBOUR MD PA
16250 NW 59TH AVE STE 201
MIAMI LAKES, FL33014-7542
 Phone: 305-825-4422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARK AND KAMBOUR MD PA

NPI # 1760456172
LBN Legal business name MARK AND KAMBOUR MD PA
Authorized official MICHAEL GRATTENDICK - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2006
Last updated 03/11/2020 - About 6 years ago
Identifiers
FL License # ME35872
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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