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NPI Code Detail

MEDICARE: MRS. MARION JEAN GODIN ARNP

MEDICARE: MRS. MARION JEAN GODIN ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP9265416FL

General Provider Information

NPI Number : 1366776726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARION JEAN GODIN ARNP
Provider Business Mailing Address
First Line : 4520 NW 23RD TER
Second Line :
City : BOCA RATON
State : FL
Zip : 33431-8428
Country : US
Telephone Number : 978-317-5680
Fax Number :
Provider Business Practice Location Address
First Line : 285 SE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5206
Country : US
Telephone Number : 561-289-8991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2009
Last Update Date : 10/01/2009

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