Individual
MARLON BAYAN NIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1580 SAWGRASS CORPORATE PKWY STE 200, SUNRISE, FL 33323-2869
(954) 332-4340
Mailing address
1580 SAWGRASS CORPORATE PKWY STE 200, SUNRISE, FL 33323-2869
(954) 332-4340
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501018239
MI
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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