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Individual

MRS. ELSY MARQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2140 W 68TH ST, SUITE 401-A, HIALEAH, FL 33016-1815
(305) 827-9939
(305) 827-9918
Mailing address
16563 NW 83RD PL, MIAMI LAKES, FL 33016-3470
(305) 826-3163
(305) 827-9918

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100075
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
291150700
FL
Enumeration date
05/10/2006
Last updated
08/19/2010
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