Provider Demographics
NPI:1326563644
Name:NEGRO, MARCO (NP-C (FNP); ARNP FL)
Entity Type:Individual
Prefix:
First Name:MARCO
Middle Name:
Last Name:NEGRO
Suffix:
Gender:M
Credentials:NP-C (FNP); ARNP FL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2577 TRAPP AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3841
Mailing Address - Country:US
Mailing Address - Phone:860-716-6817
Mailing Address - Fax:
Practice Address - Street 1:4851 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-2955
Practice Address - Country:US
Practice Address - Phone:305-620-7797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9404333363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily