MEDICARE: DR. ARIAN ORIENTE MARQUEZ PSY.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	103T00000X	Psychologist	PY8647	FL

General Provider Information

NPI Number	:	1326383969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIAN ORIENTE MARQUEZ PSY.D.

Provider Business Mailing Address
First Line	:	2416 CORRINE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-6541
Country	:	US
Telephone Number	:	813-503-4176
Fax Number	:

Provider Business Practice Location Address
First Line	:	4202 E FOWLER AVE
Second Line	:	SVC 2124
City	:	TAMPA
State	:	FL
Zip	:	33620-8000
Country	:	US
Telephone Number	:	813-974-6876
Fax Number	:

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

Provider Enumeration Date	:	12/09/2012
Last Update Date	:	12/09/2012

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