Theodor, Marc Eddy

Theodor, Marc Eddy is an individual health care provider with primary practice located at 3191 Harbor Blvd Ste A , Port Charlotte FL 33952-6755. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Theodor, Marc Eddy can be contacted via phone (941) 883-4518.

Contact Information

Primary practice address
3191 Harbor Blvd Ste A Port Charlotte FL 33952-6755
Phone: (941) 883-4518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9555670 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11036065 Florida

Profile Details

NPI number 1750105995
LBN Legal business name Theodor, Marc Eddy
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2024
Last updated Jul 1st, 2026 - about 4 months 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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