MEDICARE: JANET MARLEY M.D.,P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME0026208	FL

General Provider Information

NPI Number	:	1083732622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANET MARLEY M.D.,P.A.

Provider Business Mailing Address
First Line	:	5516 HANLEY RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-4904
Country	:	US
Telephone Number	:	813-885-1418
Fax Number	:	813-886-6731

Provider Business Practice Location Address
First Line	:	5516 HANLEY RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-4904
Country	:	US
Telephone Number	:	813-885-1418
Fax Number	:	813-886-6731

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LINDA FIDLER
Credential	:
Telephone Number	:	813-885-1418

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	05/01/2009

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