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Individual

DEBORAH LYNN RENELUS-MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1260 S MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33756-4172
(727) 824-8181
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME124988
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
ME124988
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124979400
FL
Enumeration date
06/23/2010
Last updated
08/11/2025
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