Camilo Homero Leon Marin, DC | |
1100 S Main St Unit 3, Belle Glade, FL 33430-4910 | |
(561) 996-7073 | |
Not Available |
Full Name | Camilo Homero Leon Marin |
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Gender | Male |
Speciality | Chiropractor |
Location | 1100 S Main St Unit 3, Belle Glade, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538910401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH14990 (Florida) | Primary |
Provider Name | Royal Palm Beach Rehab, Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861724783 PECOS PAC ID: 3476683335 Enrollment ID: O20100621000030 |
Mailing Address | Practice Location Address |
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Camilo Homero Leon Marin, DC 1100 S Main St Unit 3, Belle Glade, FL 33430-4910 Ph: () - | Camilo Homero Leon Marin, DC 1100 S Main St Unit 3, Belle Glade, FL 33430-4910 Ph: (561) 996-7073 |
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