Individual
MARINE DIDIDZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 DEL PRADO CIR S, BOCA RATON, FL 33433-3386
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME143532
FL
Other
Enumeration date
03/23/2016
Last updated
11/07/2025
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