Healthcare Provider Details

I. General information

NPI: 1861496515
Provider Name (Legal Business Name): MARC ETHAN CSETE M.D.,P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 12TH ST STE 205
KEY WEST FL
33040-3001
US

IV. Provider business mailing address

595 HIBISCUS LN
MIAMI FL
33137-3322
US

V. Phone/Fax

Practice location:
  • Phone: 305-292-5867
  • Fax: 305-292-5868
Mailing address:
  • Phone: 768-295-0473
  • Fax: 305-292-5868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME 44432
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: