Doctor Name: | GISLAINE MARCELIN |
NPI Number: | 1932187010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME69315 |
Business Practice Address: | 3717 W Boynton Beach Blvd Ste 5 Boynton Beach, FL - 334364540 |
Business Phone Number: | 5617341212 |
Business Fax Number: | 5617341443 |
Mailing Address: | 3717 W Boynton Beach Blvd Ste 5, BOYNTON BEACH |
State: | FL |
Postal Code: | 334364540 |
Phone Number: | 5617341212 |
Fax Number: | 5617341443 |
NPI Enumeration Date: | 01/09/2006 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME69315 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |