| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHELLE NICOLE MARIN | 1861733313 | 2023-11-10 |
Michelle Nicole Marin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861733313. Registration indicates Michelle Nicole Marin is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Emergency Medicine) (Emergency Medicine: Pediatric Emergency Medicine, ) (Emergency Medicine Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians) (Emergency Medicine, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Michelle Nicole Marin MD |
| Other Provider Name | Michelle Nicole Vazquez |
| Practice Office Address | 2815 S SEACREST BLVD BOYNTON BEACH, FL US |
| Practice Office Telephone | 5617377733 |
| Mailing Address | 3003 SHAUGHNESSY DR WELLINGTON, FL 334143400 US |
| Business Telephone | 6467345972 |
| Code | Practice | License No State |
|---|---|---|
| 208000000X | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 265109
NY |
| 207PP0204X PRIMARY | Allopathic & Osteopathic Physicians Emergency Medicine Emergency Medicine: Pediatric Emergency Medicine Emergency Medicine Pediatric Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine | ME153065
FL |
| ME153065 | OTHER | FL | FLORIDA STATE L |