Individual
ROBERT A. MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073-4461
(904) 276-1580
(904) 276-9586
Mailing address
2045 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073-4461
(904) 276-1580
(904) 276-9586
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0057884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000958746A
—
GA
05
—
051938300
—
FL
01
—
1RXJ6
BLUE CROSS BLUE SHIELD
FL
01
—
4200778
AETNA
FL
Enumeration date
01/04/2007
Last updated
01/05/2018
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