Individual
DR. MARCELO FABIAN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9408 SW 87TH AVE STE 200, MIAMI, FL 33176-2416
(305) 913-0666
(305) 913-0663
Mailing address
9408 SW 87TH AVE STE 200, MIAMI, FL 33176-2416
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101267484
VA
207RG0100X
Gastroenterology Physician
Primary
ME109504
FL
207RG0100X
Gastroenterology Physician
MFC # 1615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2780909-00
—
FL
Enumeration date
10/18/2006
Last updated
01/12/2026
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