Marder, Gary Lee
Marder, Gary Lee is an individual health care provider with primary practice located at 9580 S Federal Hwy , Port Saint Lucie FL 34952-4217. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Marder, Gary Lee can be contacted via phone (772) 335-1500.Contact Information
Primary practice address
9580 S Federal Hwy
Port Saint Lucie FL 34952-4217
Phone: (772) 335-1500
Fax: (772) 335-1116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | OS4773 | Florida |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | OS4773 | Florida |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | OS4773 | Florida |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | OS4773 | Florida |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | OS4773 | Florida |
Profile Details
| NPI number | 1730117003 |
|---|---|
| LBN Legal business name | Marder, Gary Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Mar 4th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730117003 | NPPES |
| Florida | Other | 82760 | BCBS |
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