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Organization
MARVMED LLC
Active
Organization
MARVMED LLC
Active
Other names
Flagler & Volusia Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
ROY CARLISI (CEO)
(386) 237-4003
Entity
Organization
Contact information
Practice address
1400 E MOODY BLVD, BUNNELL, FL 32110-5916
(386) 237-4003
Mailing address
1400 E MOODY BLVD, BUNNELL, FL 32110-5916
(386) 237-4003
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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