Healthcare Provider Details

I. General information

NPI: 1821480765
Provider Name (Legal Business Name): MARCARIUS & DANIEL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 S CONGRESS AVE STE 105
DELRAY BEACH FL
33445-6326
US

IV. Provider business mailing address

1615 S CONGRESS AVE STE 105
DELRAY BEACH FL
33445-6326
US

V. Phone/Fax

Practice location:
  • Phone: 561-275-2020
  • Fax: 561-275-2030
Mailing address:
  • Phone: 561-275-2020
  • Fax: 561-275-2030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateFL

VIII. Authorized Official

Name: ALISHA JACKSON
Title or Position: SENIOR REVENUE CYCLE MANAGER
Credential:
Phone: 561-208-1591