Individual
DR. MARNIE STEFAN ACTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1121 NW 64TH TER, SUITE A, GAINESVILLE, FL 32605-4243
(352) 331-3583
(352) 331-3669
Mailing address
1121 NW 64TH TER, SUITE A, GAINESVILLE, FL 32605-4243
(352) 331-3583
(352) 331-3669
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME113204
FL
2084P0800X
Psychiatry Physician
TRN-12713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005575900
—
FL
Enumeration date
06/26/2008
Last updated
01/14/2016
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