LISA E. MARK MD LLC
Medical Practice at Pines Blvd, Hollywood, FL

License number
Florida ME100791
Category
Medical Practice
Type
Gynecology
Owner
Name: DR. LISA MARK MD
Title: OWNER
Phone: (954) 330-8604
Address
Address
9917 Pines Blvd, Hollywood, FL 33024
National Provider ID: 1124452446
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LISA E. MARK MD LLC at bizstanding.com

LISA E MARK, MD, LLC

Hollywood, FL

Industry:
Business Services at Non-Commercial Site
Registration:
Mar 21, 2013
Addresses:
9917 Pne Blvd, Hollywood, FL 33024 (Physical)
3701 Tyler St 116, Hollywood, FL 33021 (Mailing)
3701 Tyler St, Hollywood, FL 33021
State ID:
L13000042531
Business type:
Florida Limited Liability Company
Managing Member:
Lisa E Mark (Managing Member), 9917 Pne Blvd, Hollywood, FL 33024 (Physical)
Agent:
Lisa Mark,3701 Tyler St, Hollywood, FL 33021 (Physical)
EIN:
46-2424692

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