Individual
MARCIA CARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 NW 1ST AVE STE 3A, MIAMI, FL 33136-3536
(786) 291-3939
Mailing address
915 NW 1ST AVE STE 3A, MIAMI, FL 33136-3536
(786) 291-3939
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134346087
—
FL
Enumeration date
05/07/2022
Last updated
05/07/2022
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