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1306482658
MARLON MEDINA
MIAMI, FL
NPI
1306482658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11005222)
Enumeration Date
2019-11-21
Last Update Date
2019-11-28
Business Address
Mr. MARLON MEDINA
1100 NW 95TH ST
MIAMI, FL 33150-2038
Phone number: 305-835-6000
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Mailing Address
Mr. MARLON MEDINA
3430 NW 97TH ST
MIAMI, FL 33147-2237
Phone number: 786-597-7426
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