MEDICARE: MARWAN MOHAMMAD SAAD EDDIN

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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1295549665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARWAN MOHAMMAD SAAD EDDIN

Provider Business Mailing Address
First Line	:	1603 DEER SPRINGS RD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-5027
Country	:	US
Telephone Number	:	386-220-2938
Fax Number	:

Provider Business Practice Location Address
First Line	:	1603 DEER SPRINGS RD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-5027
Country	:	US
Telephone Number	:	386-220-2938
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	02/05/2025

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