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Individual

CARMITA MARRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1463 NECTARINE ST, FERNANDINA BEACH, FL 32034-3027
(904) 491-0177
(904) 491-3173
Mailing address
204 ROWAN OAK PL, FERNANDINA BEACH, FL 32034-9289
(904) 321-4601

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME76419
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254686800
FL
Enumeration date
09/20/2006
Last updated
07/08/2007
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