Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | ME81351 | FL |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME81351 | FL |
NPI | 1235136151 |
---|---|
Provider Name | Dr. Mark Richard Dylewski |
First Address | Miami, FL 33243-1341 |
Second Address | Miami, FL 33176-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 10/02/2022 |