Individual
MARC EMMANUEL LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2949 SW SKYLINE ST, PORT ST LUCIE, FL 34953-3342
(863) 255-8187
Mailing address
2949 SW SKYLINE ST, PORT ST LUCIE, FL 34953-3342
(863) 255-8187
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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