Healthcare Provider Details

I. General information

NPI: 1306801428
Provider Name (Legal Business Name): MARC M AUERON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 05/28/2022
Certification Date: 05/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8645 W BOYNTON BEACH BLVD
BOYNTON BEACH FL
33472-4415
US

IV. Provider business mailing address

6357 MONTESITO ST
BOCA RATON FL
33496-3201
US

V. Phone/Fax

Practice location:
  • Phone: 561-737-6336
  • Fax:
Mailing address:
  • Phone: 561-376-5531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME53348
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME53348
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: