Staton, Marilyn

Staton, Marilyn is an individual health care provider with primary practice located at 1907 Highway 44 W , Inverness FL 34453-3801. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Staton, Marilyn can be contacted via phone (352) 344-2273.

Contact Information

Primary practice address
1907 Highway 44 W Inverness FL 34453-3801
Phone: (352) 344-2273
Fax: (352) 344-2204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X FK0578229 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108371 Florida

Profile Details

NPI number 1497153274
LBN Legal business name Staton, Marilyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2014
Last updated Oct 14th, 2021 - about 3 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 1497153274 NPPES
Florida MEDICAID 015400500

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