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Marina Boulis Fam
Student in an Organized Health Care Education/Training Program in Miami Shores, Florida
NPI 1396445904

Marina Boulis Fam is a Student in an Organized Health Care Education/Training Program based in Gainesville, FL. Marina Boulis Fam practices in Miami Shores, FL. The NPI Number for Marina Boulis Fam is 1396445904 and holds a License No. (Florida).

The current practice location address for Marina Boulis Fam is 11300 Ne 2Nd Ave, Miami Shores, FL and can be reached out via phone at 305-899-3000.

Location: 11300 Ne 2Nd Ave, Miami Shores, FL, 32608-1508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396445904
Provider Name
Marina Boulis Fam
Credential
Provider Entity Type
Individual
Gender
Female
Address
11300 Ne 2Nd Ave, Miami Shores, FL, 32608-1508
Phone Number
305-899-3000
Fax Number
Provider Enumeration Date
03/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11300 Ne 2Nd Ave
City
Miami Shores
State
Florida
Zip
33161-6628
Phone Number
305-899-3000
Fax Number
person
Provider Business Mailing Address Details
Address
11300 Ne 2Nd Ave
City
Miami Shores
State
Florida
Zip
33161-6628
Phone Number
305-899-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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