Individual
MABEL MARICHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12750 SW 128TH ST STE 108, MIAMI, FL 33186-5380
(786) 409-9490
(786) 592-2008
Mailing address
12750 SW 128TH ST STE 108, MIAMI, FL 33186-5380
(786) 409-9490
(786) 592-2008
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9109072
PHYSICIAN ASSISTANT
FL
Enumeration date
10/08/2015
Last updated
05/09/2023
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