Healthcare Provider Details

I. General information

NPI: 1992438907
Provider Name (Legal Business Name): MAR AND SEA PEDIATRIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2022
Last Update Date: 07/07/2022
Certification Date: 07/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 S MILITARY TRL STE 106
DELRAY BEACH FL
33484-2600
US

IV. Provider business mailing address

14000 S MILITARY TRL STE 106
DELRAY BEACH FL
33484-2600
US

V. Phone/Fax

Practice location:
  • Phone: 561-419-3808
  • Fax:
Mailing address:
  • Phone: 561-419-3808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIA MARGARITA ARREAZA
Title or Position: PEDIATRICIAN
Credential: MD
Phone: 561-419-3808