Doctor Name: | MR. DANIEL C MARIN |
NPI Number: | 1376950501 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0110004645 |
Business Practice Address: | 17 Ships Way Big Pine Key, FL - 330433114 |
Business Phone Number: | 3053967622 |
Business Fax Number: | 3055097702 |
Mailing Address: | 17 Ships Way, BIG PINE KEY |
State: | FL |
Postal Code: | 330433114 |
Phone Number: | 3053967622 |
Fax Number: | 3055097702 |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 03/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110004645 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |