Individual
DR. MARSHALL SCOTT BOVELSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 GATEWAY DR # 1D, MELBOURNE, FL 32901-2607
(321) 361-5677
(321) 722-1237
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5677
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME135575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110903500
—
FL
01
—
NZ630
MEDICARE HF
FL
Enumeration date
05/22/2006
Last updated
11/16/2023
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