Individual
MARQUS ELLERY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MSM
Contact information
Practice address
289 SW STONEGATE TER STE 101, LAKE CITY, FL 32024-3457
(386) 401-4309
(386) 400-5109
Mailing address
3985 NW COLONIAL GLN, LAKE CITY, FL 32055-4857
(305) 458-5073
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT6706
FL
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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