Provider Demographics
NPI:1245200047
Name:STARR, MARLENE J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:J
Last Name:STARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARLENE
Other - Middle Name:J
Other - Last Name:JANKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12801 EAST END LANE
Mailing Address - Street 2:
Mailing Address - City:MADEIRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33708
Mailing Address - Country:US
Mailing Address - Phone:727-398-6661
Mailing Address - Fax:727-578-9811
Practice Address - Street 1:12801 E END LN
Practice Address - Street 2:
Practice Address - City:MADEIRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33708-2670
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:727-578-9811
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 0067838207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 0067838OtherFLORIDA MEDICAL LISCENSE
FLME 0067838OtherFLORIDA MEDICAL LISCENSE