Brent Marshall, PA-C

NPI 1952854721 · on the registry since 2016

Practice

Address: 11701-32 San Jose Blvd
Suite 103
Jacksonville, FL 32223
Phone: (904) 880-0911
Fax: (904) 880-9388
Organisation at this address: Fountain Family Medicine, Pa
East Coast Institute For Research, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-09-02

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