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Individual

MARLON PROENZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
18974 NW 91ST AVE, HIALEAH, FL 33018-6264
(305) 755-2269
Mailing address
18974 NW 91ST AVE, HIALEAH, FL 33018-6264

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9490532
FL

Other

Enumeration date
08/25/2025
Last updated
08/25/2025
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