Organization · NPI-2
Berge Marcarian, M.D., P.A.
Otolaryngology · Lake City, FL
NPI number1851456560
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1851456560
- Entity type
- Organization (NPI-2)
- Legal business name
- Berge Marcarian, M.D., P.A.
- Organization subpart
- No
- Enumeration date
- Dec 22, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | ME71870 | FL | Yes |
Practice location
4551 W Us Highway 90Suite 101
Lake City, FL 32055-4879
Phone 386-719-9993 · Fax 386-719-4744
Mailing address
Po Box 1359Lake City, FL 32056-1359
Phone 386-719-9993 · Fax 386-719-4744
Authorized official
Berge Marcarian
President
3867199993
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