MEDICARE: MARIE DARGENSON ARNP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	1828592	FL

General Provider Information

NPI Number	:	1295784858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIE DARGENSON ARNP INC

Provider Business Mailing Address
First Line	:	1301 NE 200TH TER
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-5139
Country	:	US
Telephone Number	:	305-965-3696
Fax Number	:	305-949-9463

Provider Business Practice Location Address
First Line	:	1301 NE 200TH TER
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-5139
Country	:	US
Telephone Number	:	305-965-3696
Fax Number	:	305-949-9463

Authorized Official
Title or Position	:	ARNP
Name	:	MARIE DARGENSON
Credential	:
Telephone Number	:	305-965-3696

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	08/22/2020

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