MEDICARE: AMGAD N MARCUS M.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	208M00000X	Hospitalist Physician	ME119268	FL
2	207R00000X	Internal Medicine Physician	ME119268	FL

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

General Provider Information

NPI Number	:	1487936209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMGAD N MARCUS M.D.

Provider Business Mailing Address
First Line	:	2410 NORTHSIDE DR
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-2236
Country	:	US
Telephone Number	:	727-499-0351
Fax Number	:	727-223-4159

Provider Business Practice Location Address
First Line	:	9336 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3415
Country	:	US
Telephone Number	:	727-748-0440
Fax Number	:

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

Provider Enumeration Date	:	09/19/2011
Last Update Date	:	01/12/2026

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