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Individual

ERIN T MARIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
240 N WICKHAM RD STE 108, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1788
Mailing address
240 N WICKHAM RD STE 108, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1788

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME125116
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME125116
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112306300
FL
Enumeration date
04/15/2009
Last updated
04/03/2025
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