MEDICARE: DR. JAMES WILLIAM MARSH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	ME33883	FL

General Provider Information

NPI Number	:	1104984665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WILLIAM MARSH M.D.

Provider Business Mailing Address
First Line	:	2677 S TAMIAMI TRL
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-4500
Country	:	US
Telephone Number	:	941-366-9818
Fax Number	:

Provider Business Practice Location Address
First Line	:	2677 S TAMIAMI TRL
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-4500
Country	:	US
Telephone Number	:	941-366-9818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

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