Individual
MARC STEPHEN KALLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4110 MANATEE AVE W, BRADENTON, FL 34205-1719
(941) 748-8383
(941) 748-8484
Mailing address
315 75TH ST W, BRADENTON, FL 34209-3201
(941) 761-1998
(941) 748-8484
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME40567
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME40567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068398100
—
FL
Enumeration date
09/14/2005
Last updated
10/12/2023
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