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MARC TITO LIZARDO SANGALANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5437
(305) 689-3985
Mailing address
10926 LONG BOAT DR, HOLLYWOOD, FL 33026-4731

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11021540
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11021540
FL

Other

Enumeration date
10/10/2022
Last updated
05/25/2023
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