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Contact Information

GINA R MARLER, MED CCC SLP
609 5TH STREET SW SUITE 3
LIVE OAK, FL32064
 Phone: 386-362-8580
 Fax: 888-841-9040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for GINA R MARLER · (Female)

NPI Number 1568512291
Status Active
Credentials MED CCC SLP
Entity Individual
Enumeration date 01/12/2007
Last updated 05/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SA13817
  • FL License # SA4901
  • FL License # SA5079
  • FL Medicaid 884661800
  • FL Other S2717 BLUECROSS BLUESHIELD
Hospital affiliation(s) Not Available
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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