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NPI Code Detail

MEDICARE: JOHN J MARCIN & ASSOCIATES PA

MEDICARE: JOHN J MARCIN & ASSOCIATES PA
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
1152W00000XOptometristOPC2193

General Provider Information

NPI Number : 1821184870
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN J MARCIN & ASSOCIATES PA
Provider Business Mailing Address
First Line : 2330 N WICKHAM RD
Second Line : SUITE 2
City : MELBOURNE
State : FL
Zip : 32935-8182
Country : US
Telephone Number : 321-253-3333
Fax Number : 321-253-1277
Provider Business Practice Location Address
First Line : 2330 N WICKHAM RD
Second Line : SUITE 2
City : MELBOURNE
State : FL
Zip : 32935-8182
Country : US
Telephone Number : 321-253-3333
Fax Number : 321-253-1277
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN J MARCIN
Credential : OD
Telephone Number : 321-242-3333
Provider Enumeration Date : 10/05/2006
Last Update Date : 10/16/2008

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Directions to “JOHN J MARCIN & ASSOCIATES PA ” Practice Location

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