Mark Vandenberg
NPI #1689890949 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1689890949
- Entity Type
- Individual
- Name
- Mark Vandenberg
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1601 NE 11TH AVE
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33305-3171
- Phone
- (920) 850-5758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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