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MARISSA BOURNIQUE

Gastroenterology Physician

NPI: 1417332131IndividualAccepts Medicare

Specialties, Licenses & Credentials

Internal Medicine Physician

Internal Medicine

Code: 207R00000X

UO4447(FL)
Gastroenterology PhysicianPrimary

Internal Medicine — Gastroenterology

Code: 207RG0100X

OS15441(FL)

CMS Specialties

PrimaryHOSPITALIST

Additional

GASTROENTEROLOGYINTERNAL MEDICINE

Education

LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE

Class of 2015

Contact & Hours

Address
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952

Location

Practice Location

1700 SE HILLMOOR DR, PORT ST LUCIE, FL
(772) 335-9600

Quick Facts

NPI
1417332131
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
11

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