MARK SUPINO

MIAMI, FL
NPI1174741078
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  ME116582)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  036-116901)
Enumeration Date2007-04-23
Last Update Date2015-01-29
Business Address
Dr. MARK SUPINO M.D.
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-585-6910
Mailing Address
Dr. MARK SUPINO M.D.
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-585-6910