Organization
LUIS G MARMOL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS G MARMOL M.D. (PHYSICIAN)
(941) 235-1901
Entity
Organization
Contact information
Practice address
2525 HARBOR BLVD STE 303, PORT CHARLOTTE, FL 33952-5344
(941) 235-1901
(941) 235-1905
Mailing address
PO BOX 907, ARCADIA, FL 34265-0907
(941) 235-1901
(941) 235-1905
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME68622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR2374
RAILROAD MEDICARE
—
Enumeration date
06/25/2006
Last updated
06/04/2015
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