Basic Information
| Provider Information | |||||||||
| NPI: | 1851669816 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAYRINK | ||||||||
| FirstName: | MAXIMILIANO | ||||||||
| MiddleName: | MARQUES | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22764 SLEEPY BROOK LN | ||||||||
| Address2: | |||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333240000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8566696050 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10067 PINES BLVD | ||||||||
| Address2: | STE B | ||||||||
| City: | BEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330240000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544307777 | ||||||||
| FaxNumber: | 9544303667 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2011 | ||||||||
| LastUpdateDate: | 01/15/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | OS12996 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.