MEDICARE: MARCELO MARTIN CAZENAVE

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	183500000X	Pharmacist	PS45563	FL

General Provider Information

NPI Number	:	1871181289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCELO MARTIN CAZENAVE

Provider Business Mailing Address
First Line	:	1421 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3813
Country	:	US
Telephone Number	:	305-538-1571
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2021
Last Update Date	:	01/02/2021

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Directions to “ MARCELO MARTIN CAZENAVE ” Practice Location

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