Healthcare Provider Details

I. General information

NPI: 1396260964
Provider Name (Legal Business Name): MARSHALL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2190 W FLAGLER ST
MIAMI FL
33135-1639
US

IV. Provider business mailing address

350 LAKEVIEW DR APT 104
WESTON FL
33326-1327
US

V. Phone/Fax

Practice location:
  • Phone: 305-587-5599
  • Fax: 305-851-0427
Mailing address:
  • Phone: 305-587-5599
  • Fax: 305-581-0427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: GUSTAVO H MARSHALL
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: DC
Phone: 305-587-5599