| Doctor Name: | MR. JAMIE MARQUES |
| NPI Number: | 1093050478 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | 9185439 |
| Business Practice Address: | 725 Rodel Cv Lake Mary, FL - 327464859 |
| Business Phone Number: | 4079774130 |
| Business Fax Number: | 4079774139 |
| Mailing Address: | 601 Canyon Stone Cir, LAKE MARY |
| State: | FL |
| Postal Code: | 327463973 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2012 |
| NPI Last Update Date: | 08/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 9185439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |