Individual
DR. ALAN K MARUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 W. HIBISCUS BLVD, SUITE 100, MELBOURNE, FL 32901-2629
(321) 726-3855
(321) 775-7101
Mailing address
PO BOX 9137, BROOKLINE, MA 02446-9137
(321) 726-3855
(321) 775-7101
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A64679
CA
2085R0202X
Diagnostic Radiology Physician
Primary
ME85798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A646790
MEDICAL
CA
Enumeration date
07/12/2006
Last updated
03/06/2012
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