Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME33883 | FL |
NPI | 1104984665 |
---|---|
Provider Name | Dr. James William Marsh |
First Address | Sarasota, FL 34239-4500 |
Second Address | Sarasota, FL 34239-4500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D32481 | (02) | FL |