MEDICARE: DR. MARZIEH JEAN THURBER 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	2085R0202X	Diagnostic Radiology Physician	ME 105760	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	:	1699078576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARZIEH JEAN THURBER MD

Provider Business Mailing Address
First Line	:	9388 ABBOTT AVE
Second Line	:
City	:	SURFSIDE
State	:	FL
Zip	:	33154-2430
Country	:	US
Telephone Number	:	305-993-1510
Fax Number	:

Provider Business Practice Location Address
First Line	:	9388 ABBOTT AVE
Second Line	:
City	:	SURFSIDE
State	:	FL
Zip	:	33154-2430
Country	:	US
Telephone Number	:	305-993-1510
Fax Number	:

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

Provider Enumeration Date	:	12/14/2010
Last Update Date	:	12/14/2010

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