Individual
DR. MARC ETTENSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF FLORIDA 1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(859) 494-2950
Mailing address
DEPARTMENT OF PSYCHIATRY, 2995 DREW STREET, CLEARWATER, FL 33759
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TRN17823
FL
Other
Enumeration date
06/06/2012
Last updated
11/04/2020
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