Individual
KISHA F. MARZOUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 45TH ST, WEST PALM BEACH, FL 33407-2361
(561) 642-1000
Mailing address
7207 IVY CROSSING LN, BOYNTON BEACH, FL 33436-9417
(561) 358-2861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269853600
—
FL
Enumeration date
10/14/2005
Last updated
07/01/2025
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