Healthcare Provider Details

I. General information

NPI: 1023073681
Provider Name (Legal Business Name): KEITH L MARCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 03/27/2020
Certification Date: 03/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1135
US

IV. Provider business mailing address

3705 NW 170TH ST
NEWBERRY FL
32669-2127
US

V. Phone/Fax

Practice location:
  • Phone: 317-919-2496
  • Fax:
Mailing address:
  • Phone: 317-919-2496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number01035290
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number01035290A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME137788
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: