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Individual

DR. ALEX J MARBAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
290 W 49TH ST, HIALEAH, FL 33012-3763
(305) 557-0642
(305) 557-1578
Mailing address
290 W 49TH ST, HIALEAH, FL 33012-3763
(305) 557-0642
(305) 557-1578

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0072806
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
252704900
FL
Enumeration date
10/05/2007
Last updated
10/04/2011
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