Marino, Robert A.

Marino, Robert A. is an sole proprietor health care provider with primary practice located at 2045 Professional Center Dr , Orange Park FL 32073-4461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Marino, Robert A. can be contacted via phone (904) 276-1580.

Contact Information

Primary practice address
2045 Professional Center Dr Orange Park FL 32073-4461
Phone: (904) 276-1580
Fax: (904) 276-9586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0057884 Florida

Profile Details

NPI number 1053468967
LBN Legal business name Marino, Robert A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jan 5th, 2018 - about 7 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 1053468967 NPPES
Florida Other 4200778 AETNA
Florida MEDICAID 051938300 AETNA
Florida MEDICAID 000958746A AETNA
Florida Other 1RXJ6 AETNA

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