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NPI Code Detail

MEDICARE: MARCOS JEFFERSON GOMES SARMENTO SA-C

MEDICARE: MARCOS JEFFERSON GOMES SARMENTO SA-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
1363A00000XPhysician AssistantTPPA1224FL
2363AM0700XMedical Physician Assistant2747PR
3246ZC0007XSurgical Assistant21-221WI

General Provider Information

NPI Number : 1619698230
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCOS JEFFERSON GOMES SARMENTO SA-C
Provider Business Mailing Address
First Line : 1431 CLARKS SUMMIT CT
Second Line :
City : ORLANDO
State : FL
Zip : 32828-6602
Country : US
Telephone Number : 321-504-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1431 CLARKS SUMMIT CT
Second Line :
City : ORLANDO
State : FL
Zip : 32828-6602
Country : US
Telephone Number : 321-504-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2022
Last Update Date : 05/05/2026

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Directions to “ MARCOS JEFFERSON GOMES SARMENTO SA-C” Practice Location

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