Individual
MR. MARCEL A HOSEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4414 SW ABOVO ST, PORT ST LUCIE, FL 34953-6502
(772) 342-8711
(772) 805-8195
Mailing address
4414 SW ABOVO ST, PORT ST LUCIE, FL 34953-6502
(772) 342-8711
(772) 805-8195
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693720996
—
FL
05
—
693720998
—
FL
Enumeration date
06/30/2008
Last updated
06/30/2008
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