| Marine Medical Consultants,llc | |
|
675 North Causeway Blvd Mandeville LA 70448-4600 | |
| (985) 200-3530 | |
| Not Available |
| Full Name | Marine Medical Consultants,llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 675 North Causeway Blvd, Mandeville, Louisiana |
| Authorized Official Name and Position | Bruce Martin Ennis (OWNER) |
| Authorized Official Contact | 9852003530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marine Medical Consultants,llc 675 N Causeway Blvd Mandeville LA 70448-4600 Ph: (985) 200-3530 | Marine Medical Consultants,llc 675 North Causeway Blvd Mandeville LA 70448-4600 Ph: (985) 200-3530 |
| NPI Number | 1831631043 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831631043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 201758 (Louisiana) | Primary |
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