Individual
MARIE C PHANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13145 SW 107TH TER, MIAMI, FL 33186-3460
(305) 233-6112
Mailing address
13145 SW 107TH TER, MIAMI, FL 33186-3460
(305) 233-6112
(305) 233-4666
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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