Marvin, William James
Marvin, William James is an individual health care provider with primary practice located at 841 Prudential Dr Ufjp Pediatric Cardiovascular Center, Jacksonville FL 32207-8329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Marvin, William James can be contacted via phone (904) 493-1610.Contact Information
Primary practice address
841 Prudential Dr Ufjp Pediatric Cardiovascular Center
Jacksonville FL 32207-8329
Phone: (904) 493-1610
Fax: (904) 493-2363
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME62973 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | ME62973 | Florida |
Profile Details
NPI number | 1548229677 |
---|---|
LBN Legal business name | Marvin, William James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2006 |
Last updated | Mar 30th, 2009 - about 15 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 | 1548229677 | NPPES |
Georgia | MEDICAID | 000492863B | |
Georgia | MEDICAID | 0488640-00 | |
Georgia | Other | 370001192 |
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