Individual
MARQUIS PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15681 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4123
(239) 437-4444
(239) 437-5788
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING DEPT, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105740
FL
Other
Enumeration date
11/10/2010
Last updated
03/08/2016
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