Individual
CARLOS RAUL MARIN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 E 37TH ST, HIALEAH, FL 33013-2721
(561) 672-4699
Mailing address
550 E 37TH ST, HIALEAH, FL 33013-2721
(561) 672-4699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11016925
FL
Other
Enumeration date
04/27/2017
Last updated
01/07/2022
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