Marquis, Carol M
Marquis, Carol M is an individual health care provider with primary practice located at 540 Medical Oaks Ave Ste 103 , Brandon FL 33511-5995. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Marquis, Carol M can be contacted via phone (813) 684-2211.Contact Information
Primary practice address
540 Medical Oaks Ave Ste 103
Brandon FL 33511-5995
Phone: (813) 684-2211
Fax: (813) 655-7669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2776 | Florida |
Profile Details
| NPI number | 1780797399 |
|---|---|
| LBN Legal business name | Marquis, Carol M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | May 13th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780797399 | NPPES |
| Florida | MEDICAID | 620485600 |
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