Marilley, Mark D
Marilley, Mark D is an individual health care provider with primary practice located at 200 Se Hospital Ave , Stuart FL 34994-2346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Marilley, Mark D can be contacted via phone (772) 287-5200.Contact Information
Primary practice address
200 Se Hospital Ave
Stuart FL 34994-2346
Phone: (772) 287-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME157995 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD192722 | Oregon |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD425171 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DR.0067585 | Colorado |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 21764 | West Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 200700105 | North Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 350085209 | Georgia |
Profile Details
| NPI number | 1407852353 |
|---|---|
| LBN Legal business name | Marilley, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | May 21st, 2024 - about last year |
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 | 1407852353 | NPPES |
| North Carolina | Other | 144T9 | BCBSNC |
| North Carolina | MEDICAID | 1011688500001 | BCBSNC |
| North Carolina | MEDICAID | 2521248 | BCBSNC |
| North Carolina | MEDICAID | 115206300 | BCBSNC |
| North Carolina | MEDICAID | 3810001403 | BCBSNC |
| North Carolina | MEDICAID | 5906555 | BCBSNC |
| North Carolina | Other | SZ970 | BCBSNC |
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