Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Broudo M D P A

Organization Plastic Surgery Physician · NPI 1477797413

Mark Broudo M D P A is a Plastic Surgery Physician in West Miami, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

1100 SW 57th Ave Ste 100
West Miami, FL 33144-5129
Phone: (305) 262-6484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence ME74337 (FL)

Record details

NPI number1477797413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Broudo — President · (305) 262-6484
NPI enumeratedApril 21, 2009
Last updated in NPPESApril 21, 2009
Mailing address1100 Sw 57th Ave, Suite 100, West Miami, FL 33144-5129

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