Organization
MAGSTAR CORNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARGALITTE MARCELIN ARNP (OWNER)
(954) 224-7394
Entity
Organization
Contact information
Practice address
5038 SW 183RD AVE, MIRAMAR, FL 33029-6317
(954) 224-7394
(954) 224-7395
Mailing address
5038 SW 183RD AVE, MIRAMAR, FL 33029-6317
(954) 224-7394
(954) 224-7395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ARNP 3314742
FL
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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