Individual
MR. IVAN SCOTT MARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
19030 NW 60TH AVE, REDDICK, FL 32686-2312
(352) 262-2999
Mailing address
19030 NW 60TH AVE, REDDICK, FL 32686-2312
(352) 262-2999
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN1240652
FL
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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