Individual
MARC BISCHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1134 KELTON AVE, SUITE B, OCOEE, FL 34761-3175
(407) 381-7369
(407) 306-6375
Mailing address
PO BOX 522468, LONGWOOD, FL 32752-2468
(407) 389-5300
(407) 389-5363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME49233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065638100
—
FL
Enumeration date
10/18/2005
Last updated
05/09/2011
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