Organization
ZIAD MICHEL MARJIEH M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD MICHEL MARJIEH MD (PRESIDENT)
(772) 461-0915
Entity
Organization
Contact information
Practice address
2100 NEBRASKA AVE, FORT PIERCE, FL 34950-4831
(772) 461-0915
(772) 461-4114
Mailing address
2100 NEBRASKA AVE, FORT PIERCE, FL 34950-4831
(772) 461-0915
(772) 461-4114
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010012463
RAIL ROAD MEDICARE
FL
05
—
041814500
—
FL
01
—
10D0967529
CLIA
FL
Enumeration date
06/14/2006
Last updated
09/11/2020
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