| Doctor Name: | MR. MARK S GOZ |
| NPI Number: | 1184697310 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME0045240 |
| Business Practice Address: | 2951 Nw 49th Ave Ste 201 Lauderdale Lakes, FL - 33313 |
| Business Phone Number: | 9544865700 |
| Business Fax Number: | 9544842574 |
| Mailing Address: | 2951 Nw 49th Ave, Ste 201 LAUDERDALE LAKES |
| State: | FL |
| Postal Code: | 33313 |
| Phone Number: | 9544865700 |
| Fax Number: | 9544842574 |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0045240 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |