Healthcare Provider Details
I. General information
NPI: 1821083460
Provider Name (Legal Business Name): MARC AREL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/20/2005
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 S ANDREWS AVE BROWARD PEDIATRICS DEPT.
FT LAUDERDALE FL
33316-2510
US
IV. Provider business mailing address
1760 OPECHEE DR
MIAMI FL
33133-2442
US
V. Phone/Fax
- Phone: 954-355-4400
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0204X |
| Taxonomy | Pediatric Emergency Medicine (Pediatrics) Physician |
| License Number | ME82987 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | ME82987 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: