Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME0072264 | FL |
NPI | 1023003746 |
---|---|
Provider Name | Carlos Cesar Marinelli |
First Address | Zephyrhills, FL 33542-7505 |
Second Address | Tampa, FL 33618-2048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 30/08/2021 |