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Individual

MRS. CRISTINA ELIZABETH MARZIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1201 E SAMPLE RD STE 201, POMPANO BEACH, FL 33064-6292
(959) 942-4433
(954) 942-0448
Mailing address
1201 E SAMPLE RD STE 201, POMPANO BEACH, FL 33064-6292
(959) 942-4433
(954) 942-0448

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105228
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002876700
GROUP MEDICAID
FL
05
007241300
FL
01
K0493
GROUP MEDICARE PTAN
Enumeration date
11/25/2009
Last updated
02/23/2018
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