Individual
DR. DANIEL R MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4960 SW 72ND AVE STE 408, MIAMI, FL 33155-5506
(786) 517-4577
Mailing address
4960 SW 72ND AVE STE 408, MIAMI, FL 33155-5506
(786) 517-4577
(786) 364-7330
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME104329
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME 104329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000979500
—
FL
01
—
145RW
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/29/2007
Last updated
11/28/2023
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