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NPI Code Detail

MEDICARE: PAMELA MARNI ERMINE D.O.

MEDICARE:   PAMELA MARNI ERMINE  D.O.
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
1207Q00000XFamily Medicine PhysicianOS9547FL

General Provider Information

NPI Number : 1508887506
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA MARNI ERMINE D.O.
Provider Business Mailing Address
First Line : 10151 ENTERPRISE CTR STE 102
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-3760
Country : US
Telephone Number : 561-536-7884
Fax Number : 561-336-3776
Provider Business Practice Location Address
First Line : 10151 ENTERPRISE CTR STE 102
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-3760
Country : US
Telephone Number : 561-536-7884
Fax Number : 561-336-3776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 09/15/2020

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Directions to “ PAMELA MARNI ERMINE D.O.” Practice Location

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