Beverly, Marquissa

Beverly, Marquissa is an sole proprietor health care provider with primary practice located at 2835 West Deleon Street #101, Tampa FL 33609. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Beverly, Marquissa can be contacted via phone (318) 792-2347.

Contact Information

Primary practice address
2835 West Deleon Street #101 Tampa FL 33609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3508 Florida

Profile Details

NPI number 1760764559
LBN Legal business name Beverly, Marquissa
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2011
Last updated Nov 21st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers