Individual
DR. MAXIMO JAMES MARIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 3083, DEPARTMENT OF PATHOLOGY, CHICAGO, IL 60637-1447
(773) 834-7708
Mailing address
1600 SW ARCHER RD, BOX 100275, GAINESVILLE, FL 32610
(352) 273-7839
(352) 273-8172
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036142195
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME151533
FL
Other
Enumeration date
06/21/2013
Last updated
06/25/2021
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