Individual
JEFFREY IRV MARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-2188
(727) 828-0723
Mailing address
PO BOX 22005, ST PETERSBURG, FL 33742-2005
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME45544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043148600
—
FL
Enumeration date
07/15/2006
Last updated
06/08/2009
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