Individual
MR. EDGAR MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
512 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-1943
(772) 873-8811
Mailing address
1501 SW CURTIS ST, PORT ST LUCIE, FL 34983-3050
(772) 342-4456
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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