Provider Demographics
NPI:1275688954
Name:MARQUEZ, SONIA JUSTINA (RN)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:JUSTINA
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 BELL SHOALS RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6638
Mailing Address - Country:US
Mailing Address - Phone:813-766-2537
Mailing Address - Fax:
Practice Address - Street 1:705 DEL WEBB BLVD W
Practice Address - Street 2:SUITE A
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5232
Practice Address - Country:US
Practice Address - Phone:813-634-9680
Practice Address - Fax:813-634-9806
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3033662163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health