MEDICARE: DR. DAVID MARCUS 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	208000000X	Pediatrics Physician	ME44011	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	:	1750370946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MARCUS MD

Provider Business Mailing Address
First Line	:	6058 NW 71ST TER
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33067-1208
Country	:	US
Telephone Number	:	954-873-7330
Fax Number	:

Provider Business Practice Location Address
First Line	:	19615 S STATE ROAD 7
Second Line	:	SUITE 32
City	:	BOCA RATON
State	:	FL
Zip	:	33498
Country	:	US
Telephone Number	:	561-477-7700
Fax Number	:	561-477-7707

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	08/31/2020

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