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Individual

MARSHALL SCOTT KIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
10815 JENNIFER LN # 10815, BOCA RATON, FL 33428-4054
(561) 360-7482
Mailing address
10815 JENNIFER LN # 10815, BOCA RATON, FL 33428-4054
(561) 360-7482

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4161
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10677340
FL
Enumeration date
11/08/2006
Last updated
04/30/2025
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