Individual
MARLENE CHRIS MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4578 W 12TH AVE, HIALEAH, FL 33012-3325
(053) 828-1989
Mailing address
15951 SW 6TH ST, PEMBROKE PINES, FL 33027-1161
(305) 467-4217
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102958
FL
Other
Enumeration date
11/16/2009
Last updated
10/08/2024
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