Individual
DR. MARCO BURENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
699 W COCOA BCH CSWY, STE 203, COCA BEACH, FL 32931
(321) 799-7123
Mailing address
657 BREVARD AVE, COCOA, FL 32922
(321) 632-6880
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
51687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049442900
—
FL
Enumeration date
01/23/2006
Last updated
01/13/2015
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