Individual
DR. GEOVANNIE MARCANO-CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1179 NW 166TH AVE, PEMBROKE PINES, PEMBROKE PINES, FL 33028-1344
(754) 400-8644
Mailing address
1179 NW 166TH AVE, PEMBROKE PINES, PEMBROKE PINES, FL 33028-1344
(754) 400-8644
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME102854
FL
282N00000X
General Acute Care Hospital
13887
PR
Other
Enumeration date
05/01/2007
Last updated
07/03/2014
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