Individual
IVAN MARQUES BORRELLO
Active
Individual
IVAN MARQUES BORRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
D47390
MD
207RX0202X
Medical Oncology Physician
Primary
ME158526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357301000
—
MD
Enumeration date
04/25/2006
Last updated
12/13/2022
Update your record
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