Individual
MANUEL ANTONIO MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7123 THICKET BRANCH ALY, WINDERMERE, FL 34786-0208
(321) 438-5710
Mailing address
7123 THICKET BRANCH ALY, WINDERMERE, FL 34786-0208
(321) 438-5710
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/22/2024
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