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NPI Code Detail

MEDICARE: DR. JONATHAN WALTON MARSH MD

MEDICARE:  DR. JONATHAN WALTON MARSH  MD
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
1207R00000XInternal Medicine PhysicianLL 30910SC
2207R00000XInternal Medicine PhysicianMD30910SC
3208M00000XHospitalist PhysicianME113346FL
4207R00000XInternal Medicine PhysicianME113346FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275795528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN WALTON MARSH MD
Provider Business Mailing Address
First Line : 2338 IMMOKALEE RD
Second Line : SUITE 186
City : NAPLES
State : FL
Zip : 34110-1445
Country : US
Telephone Number : 239-330-2933
Fax Number :
Provider Business Practice Location Address
First Line : 2338 IMMOKALEE RD
Second Line : SUITE 186
City : NAPLES
State : FL
Zip : 34110-1445
Country : US
Telephone Number : 239-330-2933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 08/12/2025

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Directions to “ DR. JONATHAN WALTON MARSH MD” Practice Location

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