institution
Marshall M. Desantis, M.d.,pa
Specialist in Hudson, Florida
NPI 1437383171

Marshall M. Desantis, M.d.,pa is a Specialist based in Hudson, FL. Marshall M. Desantis, M.d.,pa practices in Hudson, FL. The NPI Number for Marshall M. Desantis, M.d.,pa is 1437383171 and holds a License No. ME53627 (Florida).

The current practice location address for Marshall M. Desantis, M.d.,pa is 14100 Fivay Rd, Hudson, FL and can be reached out via phone at 727-869-7497 and via fax at 727-869-7156.

Location: 14100 Fivay Rd, Hudson, FL, 34667-7180
institution
Provider Profile Details
NPI Number
1437383171
Provider Name
Marshall M. Desantis, M.d.,pa
Credential
Provider Entity Type
Organization
Address
14100 Fivay Rd, Hudson, FL, 34667-7180
Phone Number
727-869-7497
Fax Number
727-869-7156
Provider Enumeration Date
05/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07035 01 FL BLUE CROSS BLUE SHIELD
593277301 01 FL UNIVERSAL
048693100 05 FL
593277301 01 FL TRICARE
593277301 01 FL HUMANA
4049845 01 FL AETNA
05632 01 FL WELLCARE
083596 01 FL AV MED
1467542498 01 FL UNITED
PRO0035 01 FL QUALITY
593277301 01 FL CIGNA
institution
Provider Business Practice Location Address Details
Address
14100 Fivay Rd
City
State
Zip
34667-7180
Phone Number
727-869-7497
Fax Number
727-869-7156
person
Provider Business Mailing Address Details
Address
14100 Fivay Rd
City
State
Zip
34667-7180
Phone Number
727-869-7497
Fax Number
727-869-7156
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME53627 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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