Individual
MARC EDDY THEODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2338 IMMOKALEE RD # 559, NAPLES, FL 34110-1445
(239) 610-0194
Mailing address
2338 IMMOKALEE RD # 559, NAPLES, FL 34110-1445
(239) 610-0194
(239) 282-4185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9555670
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11036065
FL
Other
Enumeration date
11/13/2024
Last updated
02/04/2026
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