Provider Demographics
NPI:1437586781
Name:DELERME, MARCO MARCEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARCO
Middle Name:MARCEL
Last Name:DELERME
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33302-0030
Mailing Address - Country:US
Mailing Address - Phone:561-212-3752
Mailing Address - Fax:
Practice Address - Street 1:401 E SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-4603
Practice Address - Country:US
Practice Address - Phone:954-926-6657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS51186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist