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Individual

MARINA ALEJANDRA PELLOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13795 SW 36TH AVENUE RD STE 1, OCALA, FL 34473-6104
(352) 533-2371
Mailing address
13795 SW 36TH AVENUE RD STE 1, OCALA, FL 34473-6104
(352) 533-2371

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123456789
MEDICARE DIABETES PREVENTION PROGRAM
FL
Enumeration date
05/02/2022
Last updated
05/02/2022
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