Provider Demographics
NPI:1609846153
Name:MARINBERG, BORIS (MD)
Entity Type:Individual
Prefix:DR
First Name:BORIS
Middle Name:
Last Name:MARINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9599 WELDON CIR # A
Mailing Address - Street 2:408
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-0910
Mailing Address - Country:US
Mailing Address - Phone:239-273-4981
Mailing Address - Fax:
Practice Address - Street 1:9599 WELDON CIR # A
Practice Address - Street 2:408
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-0910
Practice Address - Country:US
Practice Address - Phone:239-273-4981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76688208D00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice