Provider Demographics
NPI:1235594557
Name:MARQUEZ, SIGFRED (RN)
Entity Type:Individual
Prefix:
First Name:SIGFRED
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 DOUGLAS AVE
Mailing Address - Street 2:#159
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2097
Mailing Address - Country:US
Mailing Address - Phone:407-694-2998
Mailing Address - Fax:
Practice Address - Street 1:940 DOUGLAS AVE
Practice Address - Street 2:#159
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2097
Practice Address - Country:US
Practice Address - Phone:407-694-2998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMD512135146L00000X
FLRN9421858163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic