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Individual

DR. M JEFFREY MARCUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
821 MEDICAL CT E, INVERNESS, FL 34452-4623
(352) 726-3131
(888) 491-4367
Mailing address
821 MEDICAL CT E, INVERNESS, FL 34452-4623
(352) 726-3131
(888) 491-4367

Taxonomy

Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
ME20810
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME20810
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
057682400
FL
01
44142
BLUE CROSS
FL
01
592023722
TAX ID
FL
Enumeration date
07/21/2005
Last updated
06/29/2021
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