Dr Gary Lee Marder, DO is a
Allergy & Immunology - Allergy physician based in Port Saint Lucie, Florida. Dr Gary Lee Marder is licensed to practice in Florida (license number OS4773) and his current practice location is 9580 S Federal Hwy, Port Saint Lucie, Florida. He can be reached at his office (for appointments etc.) via phone at
(772) 335-1500.
NPI number for Dr Gary Lee Marder is 1730117003 and his current mailing address is 9580 S Federal Hwy, Port Saint Lucie, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730117003.
Physician's Profile
| Full Name | Dr Gary Lee Marder |
|---|
| Gender | Male |
|---|
| Speciality | Allergy & Immunology - Allergy |
|---|
| Location | 9580 S Federal Hwy, Port Saint Lucie, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730117003
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 03/04/2008
Medical Identifiers
Medical identifiers for Dr Gary Lee Marder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730117003 | NPI | - | NPPES |
| 82760 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | OS4773 (Florida) | Primary |
| 207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | OS4773 (Florida) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | OS4773 (Florida) | Secondary |
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | OS4773 (Florida) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | OS4773 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary Lee Marder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gary Lee Marder, DO
9580 S Federal Hwy,
Port Saint Lucie, FL 34952-4217
Ph: (772) 335-1500 | Dr Gary Lee Marder, DO
9580 S Federal Hwy,
Port Saint Lucie, FL 34952-4217
Ph: (772) 335-1500 |
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