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Individual

MARIE BERNADINE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
234 SAN REMO BLVD, NORTH LAUDERDALE, FL 33068-3944
(954) 328-0375
Mailing address
234 SAN REMO BLVD, NORTH LAUDERDALE, FL 33068-3944
(954) 328-0375

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
11017650
FL

Other

Enumeration date
04/27/2022
Last updated
04/27/2022
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