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Organization

PROFORM MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL RODRIGO MARIN MD (PRESIDENT)
(786) 517-4577
Entity
Organization

Contact information

Practice address
8525 SW 92ND ST STE D17, MIAMI, FL 33156-7378
(786) 517-4577
(786) 364-7330
Mailing address
8525 SW 92ND ST STE D17, MIAMI, FL 33156-7378
(786) 517-4577
(786) 364-7330

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
05/31/2019
Last updated
05/31/2019
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