Healthcare Provider Details

I. General information

NPI: 1982540910
Provider Name (Legal Business Name): MARCDALA DULCIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17369 NW 7TH AVE APT 105
MIAMI GARDENS FL
33169-7074
US

IV. Provider business mailing address

17369 NW 7TH AVE APT 105
MIAMI GARDENS FL
33169-7074
US

V. Phone/Fax

Practice location:
  • Phone: 305-741-1284
  • Fax:
Mailing address:
  • Phone: 305-741-1284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: