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Individual

MARK JOHN MARZANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1350 TAMIAMI TRL N, STE 101, NAPLES, FL 34102-5209
(239) 430-4674
(239) 659-6530
Mailing address
2338 IMMOKALEE RD, SUITE 116, NAPLES, FL 34110-1445
(239) 430-4674
(239) 430-0055

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME81325
FL
261QR0200X
Radiology Clinic/Center
ME81325
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260090100
FL
01
51707
BCBS PROVIDER
FL
Enumeration date
07/19/2006
Last updated
02/02/2024
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