MEDICARE: FARID MARQUEZ MD PA

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1447338892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARID MARQUEZ MD PA

Provider Business Mailing Address
First Line	:	221 SW 42ND AVE
Second Line	:	2ND FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1751
Country	:	US
Telephone Number	:	305-476-0244
Fax Number	:	305-938-0852

Provider Business Practice Location Address
First Line	:	221 SW 42ND AVE
Second Line	:	2ND FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1751
Country	:	US
Telephone Number	:	305-476-0244
Fax Number	:	305-938-0852

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	DR. FARID MARQUEZ
Credential	:	MD
Telephone Number	:	305-476-0244

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	01/28/2022

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