Individual
DR. MATTHEW D MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14555 CORTEZ BLVD, BROOKSVILLE, FL 34613-6003
(352) 556-4823
(352) 556-4824
Mailing address
14690 SPRING HILL DR, STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MT200843
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015409400
—
FL
Enumeration date
06/13/2012
Last updated
11/23/2020
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