Individual
MR. MARSHALL R. KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, LMT, NCTMB
Contact information
Practice address
3042 N FEDERAL HWY, SUITE 201, FORT LAUDERDALE, FL 33306-1400
(954) 232-0147
(954) 563-1079
Mailing address
3042 N FEDERAL HWY, SUITE 201, FORT LAUDERDALE, FL 33306-1400
(954) 232-0147
(954) 563-1079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 39823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688384200
—
FL
Enumeration date
05/24/2006
Last updated
03/01/2011
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