Doctor Name: | DR. YARIMA MARCUCCI |
NPI Number: | 1427151356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 13196 |
Business Practice Address: | 5804 Lake Underhill Rd Suite A Orlando, FL - 328074346 |
Business Phone Number: | 4072036898 |
Business Fax Number: | 4072036899 |
Mailing Address: | 5804 Lake Underhill Rd, Suite A ORLANDO |
State: | FL |
Postal Code: | 328074346 |
Phone Number: | 4072036898 |
Fax Number: | 4072036899 |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 02/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13196 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |