Individual
MR. GUILLERMO MANUEL MARIN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
3526 CANAL RD, PALM SPRINGS, FL 33461-3533
(561) 541-9097
(561) 966-5436
Mailing address
3526 CANAL RD, PALM SPRINGS, FL 33461-3533
(561) 541-9097
(561) 966-5436
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
000000000
FL
Enumeration date
03/02/2009
Last updated
03/02/2009
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