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NPI Code Detail

MEDICARE: MARCELA D MURCIA DMD PA

MEDICARE: MARCELA D MURCIA DMD PA
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
1122300000XDentist

General Provider Information

NPI Number : 1700278637
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARCELA D MURCIA DMD PA
Provider Business Mailing Address
First Line : 2633 E COMMERCIAL BLVD STE B
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4135
Country : US
Telephone Number : 954-530-5352
Fax Number :
Provider Business Practice Location Address
First Line : 2633 E COMMERCIAL BLVD STE B
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4135
Country : US
Telephone Number : 954-530-5352
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : MARCELA D MURCIA
Credential : DMD
Telephone Number : 954-675-2644
Provider Enumeration Date : 03/02/2015
Last Update Date : 03/02/2015

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Directions to “MARCELA D MURCIA DMD PA ” Practice Location

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