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Provider Information for 1184942088


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LINA MARIA MARQUEZ MS


Sex: Female

NPI: 1184942088
Last Updated: 2010-05-17
Certification Date:

Details

NameValue
NPI1184942088
Enumeration Date2010-05-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5002 SW 35TH TER
FORT LAUDERDALE, FL 33312-8261
United States

Phone: 954-639-6464 | Fax:
 
Primary Practice Address 5002 SW 35TH TER
FORT LAUDERDALE, FL 33312-8261
United States

Phone: 954-639-6464 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalFLMH 9766