Provider Information for 1285760702
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PHYLLIS C MARCUS M.S.
Other Names:Former Name:PHYLLIS JANE CRAMERSex: Female
NPI: 1285760702
Last Updated: 2020-11-29
Certification Date: 2020-11-29
Certification Date: 2020-11-29
Details
Name | Value | ||||||||||||
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NPI | 1285760702 | ||||||||||||
Enumeration Date | 2007-02-26 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 635 SW 14TH TER APT 8 FT LAUDERDALE, FL 33312-7280 United States Phone: 954-304-2399 | Fax:954-497-3857 | ||||||||||||
Primary Practice Address | 540 NW 165TH ST STE 110 MIAMI, FL 33169-6304 United States Phone: 786-648-6550 | Fax:786-648-6505 | ||||||||||||
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