Individual
MARJORIE JEAN MCMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(904) 953-0461
Mailing address
4500 SAN PABLO RD., JACKSONVILLE, FL 32224-1865
(904) 953-2000
(904) 953-0461
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19960
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025123700
—
NE
01
—
AE932Z
MEDICARE
FL
Enumeration date
12/01/2006
Last updated
10/12/2007
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