MEDICARE: KATHRYN MARCO PA-C

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	363A00000X	Physician Assistant		FL

General Provider Information

NPI Number	:	1376401513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MARCO PA-C

Provider Business Mailing Address
First Line	:	8021 PETERS RD APT 528
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-4068
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10150 HAGEN RANCH RD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3776
Country	:	US
Telephone Number	:	561-736-8141
Fax Number	:

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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