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
Fax: (904) 493-2363
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548229677 NPPES
Georgia MEDICAID 000492863B
Georgia MEDICAID 0488640-00
Georgia Other 370001192

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