Healthcare Provider Details

I. General information

NPI: 1194584862
Provider Name (Legal Business Name): MARSHALL BRYAN ASKE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 INDIAN ROCKS RD S
LARGO FL
33774-1035
US

IV. Provider business mailing address

2025 INDIAN ROCKS RD S
LARGO FL
33774-1035
US

V. Phone/Fax

Practice location:
  • Phone: 727-588-5731
  • Fax:
Mailing address:
  • Phone: 727-588-5731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberOS23339
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: