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Organization
VEIN CARE SPECIALISTS OF SOUTH FLORIDA, INC
Active
Organization
VEIN CARE SPECIALISTS OF SOUTH FLORIDA, INC
Active
Other names
Dr Mark J Marzano MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J MARZANO M.D. (MEDICAL DIRECTOR)
(239) 430-8346
Entity
Organization
Contact information
Practice address
1350 TAMIAMI TRL N, STE 204, NAPLES, FL 34102-5209
(239) 430-8346
(239) 384-9681
Mailing address
2338 IMMOKALEE RD, STE 116, NAPLES, FL 34110-1445
(239) 384-9480
(239) 384-9681
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME81325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260090100
—
FL
01
—
51707
BLUE CROSS BLUE SHIELD PROVIDER
FL
Enumeration date
04/04/2011
Last updated
09/06/2011
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