# MARCENE F. KREIFELS, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083803415
- **Authorized official:** DR. MARCENE F. KREIFELS M.D. (PHYSICIAN)
- **Authorized official phone:** (850) 682-1735

## Contact information

- **Practice address:** 1198 S FERDON BLVD, CRESTVIEW, FL 32536-4512
- **Practice address phone:** (850) 682-1735
- **Practice address fax:** (850) 689-4400
- **Mailing address:** 1198 S FERDON BLVD, CRESTVIEW, FL 32536-4512
- **Mailing address phone:** (850) 682-1735
- **Mailing address fax:** (850) 689-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 50036 | FL | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 07/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DH2506 | RRB PTAN | FL |