Healthcare Provider Details

I. General information

NPI: 1578991857
Provider Name (Legal Business Name): MAR MEDICAL CONSULTANTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 10/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13660 JOG RD STE 6
DELRAY BEACH FL
33446-3806
US

IV. Provider business mailing address

285 SE 5TH AVE
DELRAY BEACH FL
33483-5206
US

V. Phone/Fax

Practice location:
  • Phone: 561-272-8991
  • Fax:
Mailing address:
  • Phone: 561-272-8991
  • Fax: 561-272-8985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME80414
License Number StateFL

VIII. Authorized Official

Name: DR. KAREN FAYE KUHNS
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 561-350-6302