Bovelsky, Marshall Scott

Bovelsky, Marshall Scott is an individual health care provider with primary practice located at 1223 Gateway Dr # 1D , Melbourne FL 32901-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bovelsky, Marshall Scott can be contacted via phone (321) 361-5677.

Contact Information

Primary practice address
1223 Gateway Dr # 1D Melbourne FL 32901-2607
Phone: (321) 361-5677
Fax: (321) 722-1237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME135575 Florida

Profile Details

NPI number 1790730646
LBN Legal business name Bovelsky, Marshall Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Nov 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790730646 NPPES
Florida MEDICAID 110903500
Florida Other NZ630

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