Individual
MARC JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2629 FUNSTON ST, HOLLYWOOD, FL 33020-5727
(954) 923-2068
Mailing address
2629 FUNSTON ST, HOLLYWOOD, FL 33020-5727
(954) 923-2068
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN 307
FL
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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