Marberry, Scott T

Marberry, Scott T is an individual health care provider with primary practice located at 14810 Old Saint Augustine Rd Ste 101 , Jacksonville FL 32258-2558. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Marberry, Scott T can be contacted via phone (904) 435-0600.

Contact Information

Primary practice address
14810 Old Saint Augustine Rd Ste 101 Jacksonville FL 32258-2558
Phone: (904) 435-0600
Fax: (904) 264-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME126999 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME126999 Florida

Profile Details

NPI number 1972914174
LBN Legal business name Marberry, Scott T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2014
Last updated Aug 25th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972914174 NPPES
Florida MEDICAID 019878900

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