Provider Demographics
NPI:1992438907
Name:MAR AND SEA PEDIATRIC
Entity type:Organization
Organization Name:MAR AND SEA PEDIATRIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:MARGARITA
Authorized Official - Last Name:ARREAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-419-3808
Mailing Address - Street 1:14000 S MILITARY TRL STE 106
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-2600
Mailing Address - Country:US
Mailing Address - Phone:561-419-3808
Mailing Address - Fax:
Practice Address - Street 1:14000 S MILITARY TRL STE 106
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-2600
Practice Address - Country:US
Practice Address - Phone:561-419-3808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty