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914 Park Ave, Marco Island, FL 34145-2751 | |
(239) 394-3068 | |
(239) 394-1078 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 914 Park Ave, Marco Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548508039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2939 (Florida) | Primary |
Provider Name | Michael G Madison |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578676805 PECOS PAC ID: 1951376862 Enrollment ID: I20040901001225 |
Provider Name | Paul Kuck |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801892062 PECOS PAC ID: 4183516008 Enrollment ID: I20211130002781 |
Mailing Address | Practice Location Address |
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914 Park Ave, Marco Island, FL 34145-2751 Ph: (239) 394-3068 | 914 Park Ave, Marco Island, FL 34145-2751 Ph: (239) 394-3068 |
Dr. Michael Glenn Madison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 914 Park Ave, Marco Island, FL 34145 Phone: 239-394-3068 |