Individual
DR. MAURICE EMILE MARCHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3680 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 936-3099
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 936-3099
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
004039
NY
2085R0202X
Diagnostic Radiology Physician
47025
TN
2085R0202X
Diagnostic Radiology Physician
Primary
ME145317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109170400
—
FL
Enumeration date
08/25/2011
Last updated
07/27/2021
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