Provider Demographics
NPI:1356092621
Name:TORIBIO, MARILYN CELESTE (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:CELESTE
Last Name:TORIBIO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 E OAK ST STE B
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5842
Mailing Address - Country:US
Mailing Address - Phone:407-846-1234
Mailing Address - Fax:
Practice Address - Street 1:819 E OAK ST STE B
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5842
Practice Address - Country:US
Practice Address - Phone:407-846-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPR683213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery