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Individual

DR. LUIS E MARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3410 W 84TH ST, SUITE 100, HIALEAH, FL 33018-4906
(305) 826-7774
(305) 826-5505
Mailing address
3410 W 84TH ST, SUITE 100, HIALEAH, FL 33018-4906
(305) 826-7774
(305) 826-5505

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2510
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390286200
FL
Enumeration date
10/03/2005
Last updated
01/04/2013
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