Healthcare Provider Details

I. General information

NPI: 1588694798
Provider Name (Legal Business Name): SETH JEREMY MARQUIT M.D., M.P.H
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD
MIAMI FL
33140-2800
US

IV. Provider business mailing address

13308 TIVOLI FOUNTAIN CT
GERMANTOWN MD
20874-4101
US

V. Phone/Fax

Practice location:
  • Phone: 305-343-2974
  • Fax: 904-346-0113
Mailing address:
  • Phone: 301-540-8804
  • Fax: 301-540-8804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME0082629
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: