Healthcare Provider Details

I. General information

NPI: 1578988119
Provider Name (Legal Business Name): MARC ISKANDAR D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2014
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 OCOEE APOPKA RD STE 120
APOPKA FL
32703-9210
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 407-889-1930
  • Fax: 407-889-1904
Mailing address:
  • Phone: 321-361-5564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberOS13902
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: