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Organization

RALPH G. MARINO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELLEN R HOLM (OFFICE MANAGER)
(386) 492-2914
Entity
Organization

Contact information

Practice address
305 CLYDE MORRIS BLVD, SUITE 200, ORMOND BEACH, FL 32174-8181
(386) 492-2914
(386) 492-7832
Mailing address
305 CLYDE MORRIS BLVD, SUITE 200, ORMOND BEACH, FL 32174-8181
(386) 492-2914
(386) 492-7832

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME22860
FL

Other

Enumeration date
09/29/2010
Last updated
10/06/2010
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