Provider Demographics
NPI:1851669816
Name:MAYRINK, MAXIMILIANO MARQUES (DO)
Entity Type:Individual
Prefix:DR
First Name:MAXIMILIANO
Middle Name:MARQUES
Last Name:MAYRINK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22764 SLEEPY BROOK LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33324-0000
Mailing Address - Country:US
Mailing Address - Phone:856-669-6050
Mailing Address - Fax:
Practice Address - Street 1:10067 PINES BLVD
Practice Address - Street 2:STE B
Practice Address - City:BEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-0000
Practice Address - Country:US
Practice Address - Phone:954-430-7777
Practice Address - Fax:954-430-3667
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12996207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology