Marshall M. Desantis, M.D.,Pa

LBN: Marshall M. Desantis, M.D.,Pa
Marshall M. Desantis, M.D.,Pa is an health care organization with primary practice located at 14100 Fivay Rd Suite 300, Hudson FL 34667-7180. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Marshall M. Desantis, M.D.,Pa can be contacted via phone (727) 869-7497, or through Desantis,, Marshall Matthew via phone (727) 869-7497.

Contact Information

Primary practice address
14100 Fivay Rd Suite 300 Hudson FL 34667-7180
Phone: (727) 869-7497
Fax: (727) 869-7156
Website:
Map and Directions
Authorized official contact:
Name: Desantis,, Marshall Matthew Doctor of Medicine (MD)
Phone: (727) 869-7497

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME53627 Florida

Profile Details

NPI number 1437383171
LBN Legal business name Marshall M. Desantis, M.D.,Pa
DBA Doing business as
Authorized official Desantis,, Marshall Matthew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2009
Last updated May 10th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437383171 NPPES
Florida Other 07035 BLUE CROSS BLUE SHIELD
Florida Other 593277301 BLUE CROSS BLUE SHIELD
Florida MEDICAID 048693100 BLUE CROSS BLUE SHIELD
Florida Other 593277301 BLUE CROSS BLUE SHIELD
Florida Other 593277301 BLUE CROSS BLUE SHIELD
Florida Other 4049845 BLUE CROSS BLUE SHIELD
Florida Other 05632 BLUE CROSS BLUE SHIELD
Florida Other 083596 BLUE CROSS BLUE SHIELD
Florida Other 1467542498 BLUE CROSS BLUE SHIELD
Florida Other PRO0035 BLUE CROSS BLUE SHIELD
Florida Other 593277301 BLUE CROSS BLUE SHIELD

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