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NPI Code Detail

MEDICARE: DR. DREW MICHAEL MARCELLO DC

MEDICARE:  DR. DREW MICHAEL MARCELLO  DC
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
1111N00000XChiropractor14032FL

General Provider Information

NPI Number : 1386380053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DREW MICHAEL MARCELLO DC
Provider Business Mailing Address
First Line : 600 41ST AVE N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33703-5717
Country : US
Telephone Number : 954-464-6810
Fax Number :
Provider Business Practice Location Address
First Line : 3322 9TH ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-1212
Country : US
Telephone Number : 727-823-4663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2022
Last Update Date : 05/06/2022

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Directions to “ DR. DREW MICHAEL MARCELLO DC” Practice Location

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