David Rodney Marshall, CPED
Prosthetic/Orthotic Supplier in Fruit Cove, FL. Individual provider (NPI-1).
NPI number1497939573
StatusActive
Last updated in NPPESJun 23, 2008
Details
- NPI
- 1497939573
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Rodney Marshall
- Credential
- CPED
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 24, 2007
- Last updated
- Jun 23, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | PED151 | FL | Yes |
| 225000000X | Orthotic Fitter | – | – |
Practice location
585 State Road 13Suite 100
Fruit Cove, FL 32259-3175
Phone 904-230-8229 · Fax 904-230-8219
Mailing address
585 State Road 13 North#100
Fruit Cove, FL 32259-3175
Phone 904-230-8229 · Fax 904-230-8219
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