Individual
PATRICIA MARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-CMPH
Contact information
Practice address
899 N SUMMIT ST, CRESCENT CITY, FL 32112-2109
(386) 698-1088
Mailing address
899 N SUMMIT ST, CRESCENT CITY, FL 32112-2109
(386) 698-1088
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102582
FL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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