Litt, Marc Richard

Litt, Marc Richard is an individual health care provider with primary practice located at 836 Prudential Dr Ste 1700 Credentialing Department, Jacksonville FL 32207-8344. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Litt, Marc Richard can be contacted via phone (904) 398-0125.

Contact Information

Primary practice address
836 Prudential Dr Ste 1700 Credentialing Department Jacksonville FL 32207-8344
Phone: (904) 398-0125
Fax: (904) 398-1832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME59005 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME59005 Florida
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME59005 Florida

Profile Details

NPI number 1528060936
LBN Legal business name Litt, Marc Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Nov 17th, 2015 - about 10 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 1528060936 NPPES
Florida Other 110082041 RR MEDICARE
Florida MEDICAID 064895700 RR MEDICARE

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