Individual
MR. SHAWN MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
926 SAXON BLVD, ORANGE CITY, FL 32763-8313
(386) 774-1881
Mailing address
926 SAXON BLVD, ORANGE CITY, FL 32763-8313
(386) 774-1881
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
00086563
FL
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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