Healthcare Provider Details

I. General information

NPI: 1902129877
Provider Name (Legal Business Name): DAVID F. MARLER, MD, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3890 TAMPA RD STE 304
PALM HARBOR FL
34684-3676
US

IV. Provider business mailing address

2931 SHIPSTON AVE
NEW PORT RICHEY FL
34655-3720
US

V. Phone/Fax

Practice location:
  • Phone: 727-789-9006
  • Fax: 727-789-9122
Mailing address:
  • Phone: 727-937-4574
  • Fax: 727-944-3146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME 0074253
License Number StateFL

VIII. Authorized Official

Name: DAVID FLOYD MARLER
Title or Position: PRESIDENT
Credential: MD
Phone: 727-937-4574