Healthcare Provider Details

I. General information

NPI: 1215128640
Provider Name (Legal Business Name): ROMILIO MARQUES MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 04/22/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4330 TAMIAMI TRL E STE 200
NAPLES FL
34112-6756
US

IV. Provider business mailing address

4330 TAMIAMI TRL E SUITE 200
NAPLES FL
34112-6756
US

V. Phone/Fax

Practice location:
  • Phone: 239-774-5437
  • Fax: 239-793-1918
Mailing address:
  • Phone: 239-774-5437
  • Fax: 239-793-1918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ROMILIO F MARQUES
Title or Position: PRESIDENT
Credential: MD
Phone: 239-774-5437