Individual
HAESOOK MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1825 KINGSLEY AVE STE 390, ORANGE PARK, FL 32073-4484
(904) 639-2260
(904) 272-1986
Mailing address
1825 KINGSLEY AVE STE 390, ORANGE PARK, FL 32073-4484
(904) 639-2260
(904) 272-1986
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME55327
FL
207VX0000X
Obstetrics Physician
ME55327
FL
Other
Enumeration date
02/27/2009
Last updated
05/13/2024
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