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Individual

MARILYN OPHEIM PRESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1502 E FOWLER AVE, TAMPA, FL 33612-5416
(813) 885-8770
(813) 889-8078
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 866-0929

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME35569
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066365400
FL
Enumeration date
03/20/2006
Last updated
03/07/2023
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