Individual
ANTON MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 COMMERCE DR, WEST MELBOURNE, FL 32904-2335
(321) 722-5200
Mailing address
400 SHERIDAN RD, MELBOURNE, FL 32901-3122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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