Individual
MARILINE SUIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 NE 136 STREET, NORTH MIAMI, FL 33161
(786) 290-7004
(786) 391-0238
Mailing address
960 NE 136TH ST, NORTH MIAMI, FL 33161-3241
(786) 290-7004
(786) 391-0238
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6906806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015699600
—
FL
Enumeration date
07/19/2017
Last updated
07/21/2022
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