Provider Demographics
NPI:1003877325
Name:LABI, MARLON AMOS (MD)
Entity Type:Individual
Prefix:
First Name:MARLON
Middle Name:AMOS
Last Name:LABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13593 BARCELONA LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3777
Mailing Address - Country:US
Mailing Address - Phone:954-849-4953
Mailing Address - Fax:
Practice Address - Street 1:13593 BARCELONA LAKE CIR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3777
Practice Address - Country:US
Practice Address - Phone:954-849-4953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD56742207RP1001X
FLME47752207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL94458ZOtherMEDICARE ID
FL94458ZOtherMEDICARE ID
FLD63244Medicare UPIN