| Doctor Name: | DR. VINCENT PAUL MARINO |
| NPI Number: | 1215028105 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME42959 |
| Business Practice Address: | 333 W Cocoa Beach Cswy Cocoa Beach, FL - 32931 |
| Business Phone Number: | 3218687170 |
| Business Fax Number: | 3218687159 |
| Mailing Address: | 333 W Cocoa Beach Cswy, COCOA BEACH |
| State: | FL |
| Postal Code: | 32931 |
| Phone Number: | 3218687170 |
| Fax Number: | 3218687159 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 06/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME42959 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |