Individual
KENNETH A MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1800 SE 17TH STREET, #601, OCALA, FL 34471
(352) 351-0375
(352) 351-1610
Mailing address
1800 SE 17TH STREET, #601, OCALA, FL 34471
(352) 351-0375
(352) 351-1610
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P01455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041258900
—
FL
Enumeration date
07/26/2006
Last updated
01/12/2009
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