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NPI Code Detail

MEDICARE: MARJORIE MERCIE GEDEON ARNP

MEDICARE:   MARJORIE MERCIE GEDEON  ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9253458FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11245738566OTHERFLNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245738566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARJORIE MERCIE GEDEON ARNP
Provider Business Mailing Address
First Line : 139 TWO PINE DR
Second Line :
City : GREENACRES
State : FL
Zip : 33413-2500
Country : US
Telephone Number : 305-335-4920
Fax Number : 863-222-9343
Provider Business Practice Location Address
First Line : 801 NORTHPOINT PKWY STE 95
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-1812
Country : US
Telephone Number : 561-622-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2018
Last Update Date : 09/19/2023

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