Marchena, Gersom

Marchena, Gersom is an individual health care provider with primary practice located at 551 National Health Care Dr , Daytona Beach FL 32114-1495. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marchena, Gersom can be contacted via phone (386) 323-7500.

Contact Information

Primary practice address
551 National Health Care Dr Daytona Beach FL 32114-1495
Phone: (386) 323-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1669803912
LBN Legal business name Marchena, Gersom
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2013
Last updated Dec 11th, 2013 - about 13 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.

Request for update

Popular Providers