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Individual

JONATHAN ANDREW MARX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.R.A., R.T.(R)(ARRT

Contact information

Practice address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
Mailing address
5723 BUCK RUN DR, LAKELAND, FL 33811-2038
(859) 803-5878

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RA61
FL

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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