Individual
DR. MARC NICHOLAS IALENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 SHERIDAN ST STE H, HOLLYWOOD, FL 33021-3416
(954) 961-3500
Mailing address
4700 SHERIDAN ST STE H, HOLLYWOOD, FL 33021-3416
(954) 961-3500
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME132587
FL
Other
Enumeration date
03/21/2011
Last updated
05/21/2020
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