Provider Demographics
NPI:1316068554
Name:AMOROSINO, MARK S (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:S
Last Name:AMOROSINO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9500 S DADELAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2866
Mailing Address - Country:US
Mailing Address - Phone:305-468-4185
Mailing Address - Fax:305-675-3378
Practice Address - Street 1:3375 BURNS RD STE 109
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4360
Practice Address - Country:US
Practice Address - Phone:561-802-9050
Practice Address - Fax:561-802-9059
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2020-02-12
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Provider Licenses
StateLicense IDTaxonomies
MA216259207RG0100X
FLME140931207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology