Individual
JOSEPH MARINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
537 NW LAKE WHITNEY PL STE 103-106, PORT SAINT LUCIE, FL 34986-1620
(772) 877-8578
Mailing address
3283 SE QUAY STREET, PORT SAINT LUCIE, FL 34984
(772) 233-6832
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9110647
FL
Other
Enumeration date
09/21/2017
Last updated
01/11/2021
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