Healthcare Provider Details

I. General information

NPI: 1528325735
Provider Name (Legal Business Name): VICTOR MICHAEL MARWIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 INDIAN RIVER BLVD STE 100
VERO BEACH FL
32960-4845
US

IV. Provider business mailing address

3955 INDIAN RIVER BLVD STE 100
VERO BEACH FL
32960-4845
US

V. Phone/Fax

Practice location:
  • Phone: 772-569-2330
  • Fax: 772-569-2630
Mailing address:
  • Phone: 772-569-2330
  • Fax: 772-569-2630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number56801
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number311261-01
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME183351
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME183351
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: