Marks, Jeffrey

Marks, Jeffrey is an individual health care provider with primary practice located at 2665 State Road 580 , Clearwater FL 33761-3166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Marks, Jeffrey can be contacted via phone (727) 725-5121.

Contact Information

Primary practice address
2665 State Road 580 Clearwater FL 33761-3166
Fax: (727) 725-5417
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0051588 Florida

Profile Details

NPI number 1306832340
LBN Legal business name Marks, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Apr 19th, 2012 - about 13 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 1306832340 NPPES
Florida MEDICAID 044923700

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