Individual
NELSON MARQUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
1342 STATE ROAD 60 E, LAKE WALES, FL 33853-4322
(863) 676-8300
(863) 676-1300
Mailing address
6120 US HIGHWAY 27 N, SEBRING, FL 33870-1221
(877) 717-9687
(863) 402-0084
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT6311
FL
Other
Enumeration date
05/13/2006
Last updated
07/08/2007
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