Individual ProviderMarshall Darien MoiniDentistDental ProvidersPractice Address3301 College Ave, Davie, FL 33314-7721(800) 541-6682(413) 847-1578PECOS EnrollmentBased on the most recent information from CMS, provider Marshall Darien Moini does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1437700937Provider TypeIndividualFull NameMoini, Marshall DarienTitleDr.CredentialDMDGenderMaleSole ProprietorYesEnumeration Date9/25/2019Last Updated9/25/2019Contact InformationPractice LocationPractice Address3301 College Ave, Davie, FL 33314-7721Phone(800) 541-6682FaxUnlisted FaxMailing LocationMailing Address7200 SW 20th St, Plantation, FL 33317-5017Phone(413) 847-1578FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseDN24529Florida