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NPI Code Detail

MEDICARE: MARCOS OSWIN MARIMON

MEDICARE: MARCOS OSWIN MARIMON
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207V00000XObstetrics & Gynecology PhysicianTRN39888FL

General Provider Information

NPI Number : 1639922115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCOS OSWIN MARIMON
Provider Business Mailing Address
First Line : 520 BRICKELL KEY DR APT 309
Second Line :
City : MIAMI
State : FL
Zip : 33131-2660
Country : US
Telephone Number : 305-619-7869
Fax Number :
Provider Business Practice Location Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-619-7869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 06/29/2026

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Directions to “ MARCOS OSWIN MARIMON ” Practice Location

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