Organization
M JEFFREY MARCUS MD FACS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M JEFFREY MARCUS (MEDICAL PHYSICIAN)
(352) 726-3131
Entity
Organization
Contact information
Practice address
821 MEDICAL CT E, INVERNESS, FL 34452-4623
(352) 726-3131
(888) 491-4367
Mailing address
821 MEDICAL CT E, INVERNESS, FL 34452-4623
(352) 726-3131
(352) 726-7202
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME20810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276145900
—
FL
01
—
44142
BLUE CROSS
FL
01
—
59200023722
TAX ID
FL
01
—
DG0919
RAILROAD MEDICARE
FL
Enumeration date
01/09/2007
Last updated
06/29/2021
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