Provider Demographics
NPI:1164699385
Name:MARIMON, GILMA A (MD)
Entity Type:Individual
Prefix:DR
First Name:GILMA
Middle Name:A
Last Name:MARIMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3661 S MIAMI AVE STE 803
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4214
Mailing Address - Country:US
Mailing Address - Phone:786-600-4733
Mailing Address - Fax:786-724-4889
Practice Address - Street 1:3661 S MIAMI AVE STE 803
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4214
Practice Address - Country:US
Practice Address - Phone:786-600-4733
Practice Address - Fax:786-724-4889
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115028208000000X, 208000000X
VA0116018819208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics