Marrotte, Jill M

Marrotte, Jill M is an sole proprietor health care provider with primary practice located at 148 13Th St Sw , Largo FL 33770-3127. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Marrotte, Jill M can be contacted via phone (727) 450-3032.

Contact Information

Primary practice address
148 13Th St Sw Largo FL 33770-3127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2075 Florida

Profile Details

NPI number 1992911150
LBN Legal business name Marrotte, Jill M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Dec 13th, 2018 - about 8 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 1992911150 NPPES
Florida MEDICAID 100787800

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