Marzouca, Kisha F.

Marzouca, Kisha F. is an individual health care provider with primary practice located at 1150 45Th St , West Palm Beach FL 33407-2361. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Marzouca, Kisha F. can be contacted via phone (561) 642-1000.

Contact Information

Primary practice address
1150 45Th St West Palm Beach FL 33407-2361
Phone: (561) 642-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME90515 Florida

Profile Details

NPI number 1376532101
LBN Legal business name Marzouca, Kisha F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 22nd, 2021 - about 3 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 1376532101 NPPES
Florida MEDICAID 269853600

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