Individual
DR. NICOLE ELDRIDGE MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7685 SW 104TH ST STE 100, PINECREST, FL 33156-3161
(305) 877-3333
Mailing address
7685 SW 104TH ST STE 100, PINECREST, FL 33156-3161
(305) 877-3333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669517462
NPPES
FL
Enumeration date
08/29/2022
Last updated
08/29/2022
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