Individual
JOHN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 KNIGHT ST, SEFFNER, FL 33584-3928
(813) 486-4529
(813) 354-4541
Mailing address
903 KNIGHT ST, SEFFNER, FL 33584-3928
(813) 486-4529
(813) 354-4541
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
FL
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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