Organization Active NPI

Mark Azer Inc.

  • Dentist
  • Davie, FL
National Provider Identifier
1588488985
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARK AZER INC.
Practice address
11050 Griffin Rd Ste 103
Davie, FL 33328-3227
Phone
(407) 637-0874
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Mark Azer, DMDNPI 1578209144
Title
Owner Dentist
Phone
(407) 637-0874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11050 Griffin Rd Ste 103
Davie, FL 33328-3227

Mailing address

11050 Griffin Rd Ste 103
Davie, FL 33328-3227

National Provider Directory

National Provider Directory

Locations

11050 Griffin Rd
Ste 103
Davie, FL 33328
Phone (954) 669-1520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1588488985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 GRIFFIN RD STE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 GRIFFIN RD STE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283227",
            "telephone_number": "407-637-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK AZER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "AZER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "407-637-0874",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.