Individual
ILEANA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1303 HOMESTEAD RD N STE 102, LEHIGH ACRES, FL 33936-6049
(239) 303-2700
(239) 303-2756
Mailing address
1303 HOMESTEAD RD N STE 102, LEHIGH ACRES, FL 33936-6049
(239) 303-2700
(239) 303-2756
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1263
FL
390200000X
Student in an Organized Health Care Education/Training Program
14575I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN1263
FLORIDA ACN MEDICAL LICENSE
FL
Enumeration date
06/22/2018
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us