Individual
JESSICA MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12600 PEMBROKE RD STE 310, MIRAMAR, FL 33027-2544
(954) 431-7681
Mailing address
2293 NW 170TH AVE, PEMBROKE PINES, FL 33028-2058
(954) 393-8613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11032972
FL
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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