Marquez, Miguel

Marquez, Miguel is an sole proprietor health care provider with primary practice located at 619 Rollins Dr , Davenport FL 33837-7218. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Marquez, Miguel can be contacted via phone (863) 438-6331.

Contact Information

Primary practice address
619 Rollins Dr Davenport FL 33837-7218
Fax:
Website:

Health care specialties

Profile Details

NPI number 1316505522
LBN Legal business name Marquez, Miguel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2019
Last updated Jun 3rd, 2019 - about 5 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 1316505522 NPPES
Florida MEDICAID 832645525

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