Individual
MR. JAMIE MARQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
725 RODEL CV, LAKE MARY, FL 32746-4859
(407) 977-4130
(407) 977-4139
Mailing address
601 CANYON STONE CIR, LAKE MARY, FL 32746-3973
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9185439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007736000
—
FL
Enumeration date
12/11/2012
Last updated
08/01/2014
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