SearchFloridaPsychiatric/Mental Health Nurse Practitioner

Marc Theodor, PMHNP

NPI 1750105995 · on the registry since 2024

Practice

Address
3191 Harbor Blvd Ste A
Port Charlotte, FL 33952
Phone
(941) 883-4518
Organisation at this address
Medic Infusion Pa
David M Kanuck D P M Pa
Medic Podiatry And Wound Care
Seabreeze Behavioral Medicine Pa
Charlotte County Medical Solutions Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Additional practice sites

  • 2338 Immokalee Rd # 559, Naples, FL

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Registered Nurse
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida