Healthcare Provider Details

I. General information

NPI: 1104984665
Provider Name (Legal Business Name): JAMES WILLIAM MARSH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2677 S TAMIAMI TRL
SARASOTA FL
34239-4500
US

IV. Provider business mailing address

2677 S TAMIAMI TRL
SARASOTA FL
34239-4500
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-9818
  • Fax:
Mailing address:
  • Phone: 941-366-9818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberME33883
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: