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NPI Code Detail

MEDICARE: MARCEL A IONITA MD, PHD

MEDICARE: MARCEL A IONITA MD, PHD
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
1207Q00000XFamily Medicine PhysicianMD437944PA
2207Q00000XFamily Medicine PhysicianME137422FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871715524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCEL A IONITA MD, PHD
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number :
Provider Business Practice Location Address
First Line : 408 MANATEE AVE E STE 2
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1135
Country : US
Telephone Number : 941-748-1331
Fax Number : 941-746-2803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 09/19/2023

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Directions to “ MARCEL A IONITA MD, PHD” Practice Location

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