Innocent, Marilyn B
Innocent, Marilyn B is an sole proprietor health care provider with primary practice located at 220 S Dixie Hwy Suite 4, Lake Worth FL 33460-4153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Innocent, Marilyn B can be contacted via phone (561) 429-5086.Contact Information
Primary practice address
220 S Dixie Hwy Suite 4
Lake Worth FL 33460-4153
Phone: (561) 429-5086
Fax: (561) 290-4144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME93404 | Florida |
Profile Details
| NPI number | 1346340254 |
|---|---|
| LBN Legal business name | Innocent, Marilyn B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Aug 26th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346340254 | NPPES |
| Florida | MEDICAID | 007403900 |
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