Luis G Marmol Md Pa

NPI 1255367702 - Otolaryngology - 207Y00000X

NPI Details
NPI 1255367702
Enumeration Date 06/25/2006
Last Updated 06/04/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LUIS G LUIS
Position PHYSICIAN
Phone (941) 235-1901
Fax (941) 235-1905
Practice Location
2525 HARBOR BLVD STE 303
PORT CHARLOTTE FL, 33952-5344, US
Phone (941) 235-1901
Fax (941) 235-1905
Business Location
PO BOX 907
ARCADIA FL, 34265-0907, US
Phone (941) 235-1901
Fax (941) 235-1905
Toxanomy
Taxonomy Code 207Y00000X
License State Florida
License Number ME68622
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According to our database, Luis G Marmol Md Pa NPI is 1255367702, taxonomy code is 207Y00000X and license number is ME68622, license state is located at Florida. Luis G Marmol Md Pa physically located at 2525 Harbor Blvd Ste 303, Port Charlotte FL, 33952-5344. NPI Number 1033115704 has the healthcare provider type.

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1255367702 NPI number is provided on an as is basis without warranty of any kind. 1255367702 is maintained by the National Plan & Provider Enumeration System. The contents of Luis G Marmol Md Pa are for informational purposes only.