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Individual

MR. MARCEL JOSEPH BERUBE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
113 SW 128TH AVE, PLANTATION, FL 33325-2303
(954) 723-9333
Mailing address
113 SW 128TH AVE, PLANTATION, FL 33325-2303
(954) 723-9333

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11909
FL

Other

Enumeration date
10/09/2009
Last updated
10/09/2009
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