Individual
BRENT ADAIR MARQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 798-6596
Mailing address
2820 BAY DR, BRADENTON, FL 34207-5605
(941) 920-3239
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN2924842
FL
163WF0300X
Flight Registered Nurse
RN2924842
FL
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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