MEDICARE: WILLIAM J MARQUEZ PT

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	225100000X	Physical Therapist	PT10067	FL

General Provider Information

NPI Number	:	1659509487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM J MARQUEZ PT

Provider Business Mailing Address
First Line	:	4000 NE 168TH ST PH 6
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3500
Country	:	US
Telephone Number	:	786-222-0533
Fax Number	:

Provider Business Practice Location Address
First Line	:	3948 NE 169TH ST
Second Line	:	APT 305
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3214
Country	:	US
Telephone Number	:	786-222-0533
Fax Number	:

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

Provider Enumeration Date	:	07/01/2009
Last Update Date	:	08/14/2017

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Directions to “ WILLIAM J MARQUEZ PT” Practice Location

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