Individual
MARLYNN NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4671 S CONGRESS AVE, SUITE 100B, LAKE WORTH, FL 33461-4783
(561) 434-0111
(561) 296-3533
Mailing address
4671 S CONGRESS AVE, SUITE 100B, LAKE WORTH, FL 33461-4783
(561) 434-0111
(561) 296-3533
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2004012768
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
ME96197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276032100
—
FL
01
—
78195
BCBS
FL
Enumeration date
06/20/2005
Last updated
01/10/2014
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