Mark and Kambour MD PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME60651 Issued in FL

Legal business name

MARK AND KAMBOUR MD PA

Practice address

4665 Ponce de Leon Blvd
Coral Gables, FL 33146-2101

Phone

(305) 503-5610

NPI assigned

Oct 25, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ana Viciana, MD

Title

Director

Phone

(305) 503-6320

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mark and Kambour MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mark and Kambour MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami Lakes, FL
  • NPI 1407012461
  NPD tax ID
• Mark and Kambour MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami Lakes, FL
  • NPI 1760456172
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1447536289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100914",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462101",
            "telephone_number": "305-503-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK AND KAMBOUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "VICIANA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-503-6320",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME60651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "L9100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario Torres MD PA
• Maritza Otero MD, PA
• Marjorie Zurbaran Associates Inc
• Mark & Kambour, LLC
• Mark & Kambour, LLC
• Thomas Mark, MD
• Marley Medical Provider Group, P.a.
• Kayla Marmaros, PHD, MS, LMHC
• Sarah Marmol
• Mabel Marotta, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.