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DR. MARLENE J STARR M.D.
Adult Medicine >> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1245200047
Individual Registrant:DR. MARLENE J STARR M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
12801 E END LN MADEIRA BEACH, FL 33708-2670 US
Tel: 727-398-6661 Fax: 727-578-9811
Tel: 727-398-6661 Fax: 727-578-9811
Contact information for business:
12801 EAST END LANE MADEIRA BEACH, FL 33708 US
Tel: 727-398-6661 Fax: 727-578-9811
Tel: 727-398-6661 Fax: 727-578-9811
Registration Information:
NPI: 1245200047
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207QA0505X | Allopathic & Osteopathic Physicians Family Medicine Adult Medicine | FL | ME 0067838 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| DEA NUMBER | BJ 4406319 | FL | 01 |
| FLORIDA MEDICAL LISCENSE | ME 0067838 | FL | 01 |
