Dr. Mark Wilson Bridges
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
15600 Nw 67th Ave Ste 306
Miami Lakes
, Florida 33014-2176
Dr. Mark Wilson Bridges
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
15600 Nw 67th Ave Ste 306
Miami Lakes
, Florida 33014-2176
(305) 306-0600
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mark Wilson Bridges
- 15600 Nw 67th Ave Ste 306
- Miami Lakes, FL
- Zip : 33014-2176
- Phone : (305) 306-0600
Second Address
- Dr. Mark Wilson Bridges
- 15600 Nw 67th Ave Ste 306
- Miami Lakes, FL
- Zip : 33014-2176
- Phone : (305) 306-0600
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Is Dr. Mark Wilson Bridges a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | ME91496 | FL |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME91496 | FL |
National Provider Identifier
| NPI | 1225091143 |
|---|---|
| Provider Name | Dr. Mark Wilson Bridges |
| First Address | Miami Lakes, FL 33014-2176 |
| Second Address | Miami Lakes, FL 33014-2176 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2006 |
| Last Update Date | 28/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H94689 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.