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Marc-Enel Louis, PA-C

Physician Assistant in Fort Lauderdale, FL. Individual provider (NPI-1).

NPI number1235898628
StatusActive
Last updated in NPPESApr 3, 2024

Details

NPI
1235898628
Entity type
Individual (NPI-1)
Name
Marc-Enel Louis
Credential
PA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 13, 2021
Certification date
Apr 3, 2024
Last updated
Apr 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant9115214FLYes

Practice location

1601 S Andrews Ave Fl 3
Fort Lauderdale, FL 33316-2509

Phone 954-763-6655 · Fax 954-763-6799

Mailing address

1700 Nw 49th St Ste 125
Fort Lauderdale, FL 33309-3750

Phone 954-763-6655 · Fax 954-763-6799

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