# GARDY D. MARCELIN, M.D. PA

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

## Provider details

- **NPI number:** 1790985422
- **Authorized official:** DR. GARDY D. MARCELIN M.D. (PRESIDENT)
- **Authorized official phone:** (561) 734-1212

## Contact information

- **Practice address:** 3717 W BOYNTON BEACH BLVD STE 5, BOYNTON BEACH, FL 33436-4540
- **Practice address phone:** (561) 734-1212
- **Practice address fax:** (561) 734-1443
- **Mailing address:** 3717 W BOYNTON BEACH BLVD STE 5, BOYNTON BEACH, FL 33436-4540
- **Mailing address phone:** (561) 734-1212
- **Mailing address fax:** (561) 734-1443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME76514 | FL | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 07/05/2012