Individual
JOSE LUIS MARICHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4535 MOUNT VIEW DR, LAKELAND, FL 33813-1757
(863) 644-9301
Mailing address
4535 MOUNT VIEW DR, LAKELAND, FL 33813-1757
(863) 644-9301
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0021830
FL
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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