Ralph G. Marino Md Pa

NPI 1194034884 - Legal Medicine - 173000000X

NPI Details
NPI 1194034884
Enumeration Date 09/29/2010
Last Updated 10/06/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ELLEN R ELLEN
Position OFFICE MANAGER
Phone (386) 492-2914
Fax (386) 492-7832
Practice Location
305 CLYDE MORRIS BLVD
SUITE 200
ORMOND BEACH FL, 32174-8181, US
Phone (386) 492-2914
Fax (386) 492-7832
Business Location
305 CLYDE MORRIS BLVD
SUITE 200
ORMOND BEACH FL, 32174-8181, US
Phone (386) 492-2914
Fax (386) 492-7832
Toxanomy
Taxonomy Code 173000000X
License State Florida
License Number ME22860
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According to our database, Ralph G. Marino Md Pa NPI is 1194034884, taxonomy code is 173000000X and license number is ME22860, license state is located at Florida. Ralph G. Marino Md Pa physically located at 305 Clyde Morris Blvd, Ormond Beach FL, 32174-8181. NPI Number 1033115704 has the healthcare provider type.

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1194034884 NPI number is provided on an as is basis without warranty of any kind. 1194034884 is maintained by the National Plan & Provider Enumeration System. The contents of Ralph G. Marino Md Pa are for informational purposes only.