MEDICARE: JAIME MARCHAND 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	207P00000X	Emergency Medicine Physician	ME0068890	FL
2	208000000X	Pediatrics Physician	ME68890	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	930061912	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	32292	OTHER	FL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386612869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME MARCHAND MD.

Provider Business Mailing Address
First Line	:	3319 S STATE ROAD 7 STE 109
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33449-8099
Country	:	US
Telephone Number	:	561-798-5437
Fax Number	:	305-662-3723

Provider Business Practice Location Address
First Line	:	3319 S STATE ROAD 7 STE 109
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33449-8099
Country	:	US
Telephone Number	:	561-798-5437
Fax Number	:	305-662-3723

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/11/2021

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Directions to “ JAIME MARCHAND MD.” Practice Location

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