Individual
ELIZABETH J MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 HILDEN RD STE 120, PONTE VEDRA, FL 32081-8403
(904) 460-6064
(904) 342-5274
Mailing address
145 HILDEN RD STE 120, PONTE VEDRA, FL 32081-8403
(904) 468-6064
(904) 342-5274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME117715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01744319
RR MEDICARE
FL
Enumeration date
06/27/2011
Last updated
07/16/2024
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