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NPI Code Detail

MEDICARE: SHEREEN-GALE MARSH RN

MEDICARE:   SHEREEN-GALE  MARSH  RN
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
1163W00000XRegistered Nurse692457NY

General Provider Information

NPI Number : 1700281649
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEREEN-GALE MARSH RN
Provider Business Mailing Address
First Line : 7378 W ATLANTIC BLVD # 228
Second Line :
City : MARGATE
State : FL
Zip : 33063-4214
Country : US
Telephone Number : 954-716-6790
Fax Number : 954-716-6790
Provider Business Practice Location Address
First Line : 3601 W COMMERCIAL BLVD STE 16
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-3320
Country : US
Telephone Number : 954-716-6790
Fax Number : 954-716-6790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2014
Last Update Date : 02/21/2022

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