Individual provider · NPI-1
Dr. Mark Wilson Bridges, M.D.
Orthopaedic Surgery · Hollywood, FL
NPI number1225091143
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1225091143
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Wilson Bridges
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2006
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME91496 | FL | Yes |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | ME91496 | FL |
Practice location
3900 Hollywood Blvd Ste 204Hollywood, FL 33021-6797
Phone 561-570-2501
Mailing address
6415 Lake Worth Rd Ste 302Greenacres, FL 33463-2906
Other practice locations
15600 Nw 67th Ave Ste 306
Miami Lakes, FL 33014-2176
Miami Lakes, FL 33014-2176
Phone 561-570-2501
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