Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | OS10623 | FL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | OS10623 | FL |
NPI | 1144278300 |
---|---|
Provider Name | Anthony L Marcotte |
First Address | Clearwater, FL 33756-4070 |
Second Address | Clearwater, FL 33756-4070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 21/02/2012 |