Nemecek, Marcia M

Nemecek, Marcia M is an individual health care provider with primary practice located at 13 Saint Johns Medical Pk Dr , St Augustine FL 32086-5304. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Nemecek, Marcia M can be contacted via phone (904) 471-9910.

Contact Information

Primary practice address
13 Saint Johns Medical Pk Dr St Augustine FL 32086-5304
Fax: (904) 797-2813
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0012028 Florida

Profile Details

NPI number 1912942756
LBN Legal business name Nemecek, Marcia M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Sep 13th, 2007 - about 18 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 1912942756 NPPES
Florida Other 0012028 LICENCES NO

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