Marler, Gina R

Marler, Gina R is an individual health care provider with primary practice located at 609 5Th Street Sw Suite 3 , Live Oak FL 32064. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Marler, Gina R can be contacted via phone (386) 362-8580.

Contact Information

Primary practice address
609 5Th Street Sw Suite 3 Live Oak FL 32064
Phone: (386) 362-8580
Fax: (888) 841-9040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5079 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA13817 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA4901 Florida

Profile Details

NPI number 1568512291
LBN Legal business name Marler, Gina R
Credentials MED CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated May 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568512291 NPPES
Florida MEDICAID 884661800
Florida Other S2717

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