Individual
MARINO AMAURY CHANLATTE-ITHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
483 N SEMORAN BLVD, STE #103, WINTER PARK, FL 32792-3800
(407) 680-2273
(321) 274-0224
Mailing address
483 N SEMORAN BLVD, STE #103, WINTER PARK, FL 32792-3800
(407) 680-2273
(321) 274-0224
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12726
PR
207P00000X
Emergency Medicine Physician
Primary
ME117097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009431000
—
FL
Enumeration date
04/12/2011
Last updated
07/01/2016
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