Marichal, Mabel

Marichal, Mabel is an sole proprietor health care provider with primary practice located at 12750 Sw 128Th St Ste 108 , Miami FL 33186-5380. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Marichal, Mabel can be contacted via phone (786) 409-9490.

Contact Information

Primary practice address
12750 Sw 128Th St Ste 108 Miami FL 33186-5380
Fax: (786) 592-2008
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9109072 Florida

Profile Details

NPI number 1366813966
LBN Legal business name Marichal, Mabel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2015
Last updated May 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366813966 NPPES
Florida Other PA9109072 PHYSICIAN ASSISTANT

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