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1013249549
PRUDENT MARCELIN
MAITLAND, FL
NPI
1013249549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME105170)
Enumeration Date
2010-02-09
Last Update Date
2011-06-21
Business Address
-- PRUDENT MARCELIN MD
670 N ORLANDO AVE STE 1012
MAITLAND, FL 32751-4465
Phone number: 407-790-7870
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Mailing Address
-- PRUDENT MARCELIN MD
670 N ORLANDO AVE STE 1012
MAITLAND, FL 32751-4465
Phone number: 954-557-8701
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