Individual
MICHELLE NICOLE MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(561) 737-7733
Mailing address
3003 SHAUGHNESSY DR, WELLINGTON, FL 33414-3400
(646) 734-5972
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME153065
FL
208000000X
Pediatrics Physician
265109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME153065
FLORIDA STATE LICENSE
FL
Enumeration date
03/08/2013
Last updated
11/10/2023
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