Marino, Roque

Marino, Roque is an sole proprietor health care provider with primary practice located at 1639 Forum Pl Suite 7, West Palm Beach FL 33401-2330. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Marino, Roque can be contacted via phone (561) 712-8821.

Contact Information

Primary practice address
1639 Forum Pl Suite 7 West Palm Beach FL 33401-2330
Phone: (561) 712-8821
Fax: (561) 712-8070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH 10457 Florida

Profile Details

NPI number 1467743674
LBN Legal business name Marino, Roque
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2011
Last updated Nov 6th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467743674 NPPES
Florida MEDICAID 002147400

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