Marineau, Shirley Alice

Marineau, Shirley Alice is an individual health care provider with primary practice located at 2336 Immokalee Rd , Naples FL 34110-1414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Marineau, Shirley Alice can be contacted via phone (239) 591-8481.

Contact Information

Primary practice address
2336 Immokalee Rd Naples FL 34110-1414
Fax: (239) 596-0212
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME48023 Florida

Profile Details

NPI number 1104861939
LBN Legal business name Marineau, Shirley Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Aug 23rd, 2011 - about 14 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 1104861939 NPPES
Florida MEDICAID 47177100

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