Individual
MR. JULIAN MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2140 W 68TH ST, SUITE 401-A, HIALEAH, FL 33016-1815
(305) 827-9939
(305) 827-9918
Mailing address
2140 W 68TH ST, SUITE 401-A, HIALEAH, FL 33016-1815
(305) 827-9939
(305) 827-9918
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0056854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061833100
—
FL
01
—
09635X
MEDICARE PTAN
FL
Enumeration date
05/12/2006
Last updated
01/09/2013
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