# ST CROIX MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346570546
- **Authorized official:** DR. HARRY P MARCELIN PHARMD (PRESIDENT)
- **Authorized official phone:** (954) 486-7101

## Contact information

- **Practice address:** 4010 NW 34TH ST, LAUDERDALE LAKES, FL 33319-5721
- **Practice address phone:** (954) 486-7101
- **Practice address fax:** (954) 486-7102
- **Mailing address:** 4010 NW 34TH ST, LAUDERDALE LAKES, FL 33319-5721
- **Mailing address phone:** (954) 486-7101
- **Mailing address fax:** (954) 486-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2010
- **Last updated:** 01/27/2022