Provider Demographics
NPI:1770718058
Name:MARIMON, ADRIAN TOMAS (MD)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:TOMAS
Last Name:MARIMON
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 1:11760 SW 40TH ST
Mailing Address - Street 2:SUITE 518
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3582
Mailing Address - Country:US
Mailing Address - Phone:305-553-2888
Mailing Address - Fax:305-553-0291
Practice Address - Street 1:11760 SW 40TH STREET
Practice Address - Street 2:SUITE 518
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3598
Practice Address - Country:US
Practice Address - Phone:305-553-2888
Practice Address - Fax:305-553-0291
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108365174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist