Individual
MR. ADAM LOUIS MARCONI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 BAHIA VISTA ST, SARASOTA, FL 34239-2635
(941) 365-2830
Mailing address
2153 BOXWOOD ST, NORTH PORT, FL 34289-1403
(941) 429-2149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2192216
ATENA HMO
FL
01
—
5144793
ATENA NON HMO
FL
01
—
640076
PCA
FL
01
—
966449
PA BCBS
PA
01
—
P00272541
RAILROAD MEDICARE
FL
01
—
S2078
PRINCIPLE
FL
01
—
Y4395
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/19/2006
Last updated
07/08/2007
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