Marino, Chris J

Marino, Chris J is an individual health care provider with primary practice located at 12670 Whitehall Dr , Fort Myers FL 33907-3619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Marino, Chris J can be contacted via phone (239) 936-3554.

Contact Information

Primary practice address
12670 Whitehall Dr Fort Myers FL 33907-3619
Phone: (239) 936-3554
Fax: (239) 936-8993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME0069258 Florida
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X ME0069258 Florida

Profile Details

NPI number 1417950635
LBN Legal business name Marino, Chris J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 30th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417950635 NPPES
Florida MEDICAID 254385100

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