MEDICARE: WAYNE MARCHANT 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
1	207Q00000X	Family Medicine Physician	ME0073637	FL
2	207P00000X	Emergency Medicine Physician	ME0073637	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	41616	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326080052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAYNE MARCHANT MD

Provider Business Mailing Address
First Line	:	2280 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4637
Country	:	US
Telephone Number	:	561-278-3134
Fax Number	:	561-278-3922

Provider Business Practice Location Address
First Line	:	2280 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4637
Country	:	US
Telephone Number	:	561-278-3134
Fax Number	:	561-278-3922

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

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	12/08/2014

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Directions to “ WAYNE MARCHANT MD” Practice Location

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