MARK BROUDO M D P A
NPI 1477797413
Plastic Surgery in West Miami, FL

Active since April 21, 2009
1100 SW 57TH AVE, SUITE 100, WEST MIAMI, FL 33144(305) 262-6484 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Broudo M D P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK BROUDO M D P A (NPI 1477797413) is a healthcare organization registered as a plastic surgery in West Miami, Florida and active in the NPI registry since April 2009. The organization lists Mark Broudo, President, as its authorized official.

NPPES Registry Identity

NPI1477797413
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMARK BROUDO M D P A
Location Address1100 SW 57TH AVE, SUITE 100West Miami, FL 33144-5129
Mailing Address1100 Sw 57th Ave, Suite 100West Miami, FL 33144-5129 · (305) 262-6484
Organization SubpartNo
Authorized OfficialMark BroudoPresident · (305) 262-6484
Enumeration DateApril 21, 2009
NPI 1477797413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in FL · ME74337
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1100 SW 57TH AVE, West Miami, FL 33144

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
1100 SW 57TH AVE, SUITE 100
WEST MIAMI, FL 33144
Plastic Surgery
1100 SW 57TH AVE, SUITE 100
WEST MIAMI, FL 33144
Plastic Surgery
1100 SW 57TH AVE, PENTHOUSE #1
WEST MIAMI, FL 33144
Plastic Surgery
1100 SW 57TH AVE, PENTHOUSE #1
WEST MIAMI, FL 33144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Broudo M D P A's NPI number?

The NPI number for Mark Broudo M D P A is 1477797413. It was assigned to this organization in the NPPES registry on April 21, 2009.

Where is Mark Broudo M D P A located?

Mark Broudo M D P A is located at 1100 SW 57th Ave Suite 100, West Miami, FL 33144. The listed phone number is (305) 262-6484.

What is Mark Broudo M D P A's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does Mark Broudo M D P A accept?

Health plans from AvMed list Mark Broudo M D P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Broudo M D P A was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.