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Contact Information

MATTHEW D MARSH, MD
14555 CORTEZ BLVD
BROOKSVILLE, FL34613-6003
 Phone: 352-556-4823
 Fax: 352-556-4824
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MATTHEW D MARSH · (Male)

NPI Number 1215299573
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2012
Last updated 11/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MT200843
  • FL Medicaid 015409400
Hospital affiliation(s)
  • CITRUS MEMORIAL HOSPITAL - (Acute Care)
    502 W HIGHLAND BLVD
    INVERNESS, FL 34452
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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