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Organization
S S MARATHE MD PA
Active
Organization
S S MARATHE MD PA
Active
Other names
Medical Specialists of Hastings
Organization subpart
No
Provider details
NPI number
Authorized official
SHRIRAM S MARATHE MD (PRESIDENT)
(904) 824-8158
Entity
Organization
Contact information
Practice address
201 WEST LATTIN STREET, HASTINGS, FL 32145
(904) 824-8158
(904) 823-1284
Mailing address
665 STATE ROAD 207, SUITE 102, SAINT AUGUSTINE, FL 32084-5938
(904) 824-8158
(904) 823-1284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94907
FL
207RP1001X
Pulmonary Disease Physician
91451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250270403
—
FL
Enumeration date
12/12/2006
Last updated
06/19/2008
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