Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW 44 | FL |
NPI | 1093828162 |
---|---|
Provider Name | Debbie Marin |
First Address | Hollywood, FL 33020-6708 |
Second Address | Hollywood, FL 33020-6708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
225901 | AMERIGROUP DEBBIE (01) | FL |
22953 | NHP (01) | FL |
237106 | AVMED (01) | FL |
246233 | AVMED DEBBIE (01) | FL |
293433 | AMERIGROUP (01) | FL |
5123292 | AETNA (01) | FL |
B0109 | BC/BS (01) | FL |
N170517 | STAYWELL (01) | FL |
N275093 | STAYWELL DEBBIE (01) | FL |