Individual
MARIFEL JUARBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 681-5551
(813) 654-7203
Mailing address
10839 DRAGONWOOD DR, TAMPA, FL 33647-4044
(813) 377-3338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14715
PR
207P00000X
Emergency Medicine Physician
Primary
96542
FL
207P00000X
Emergency Medicine Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140KV
BLUE CROSS
NC
05
—
5901702
—
NC
01
—
P00243247
RAILROAD MEDICARE
NC
Enumeration date
05/22/2006
Last updated
07/08/2007
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