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Individual

MR. JERRY L MARLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
2000 HARTMAN RD STE 1, FORT PIERCE, FL 34947-4412
(772) 465-1170
(772) 465-1171
Mailing address
2000 HARTMAN RD STE 1, FORT PIERCE, FL 34947-4412
(772) 465-1170
(772) 465-1171

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3274792
FL

Other

Enumeration date
03/09/2010
Last updated
02/09/2018
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