Provider Demographics
NPI:1346214160
Name:MCEACHRANE, MARSH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSH
Middle Name:
Last Name:MCEACHRANE
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 1:8880 ROYAL PALM BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065
Mailing Address - Country:US
Mailing Address - Phone:954-753-2411
Mailing Address - Fax:954-753-1176
Practice Address - Street 1:8880 ROYAL PALM BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065
Practice Address - Country:US
Practice Address - Phone:954-753-2411
Practice Address - Fax:954-753-1176
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME59272174400000X
FLME0059272207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054434500Medicaid
FL054434500Medicaid
FLE99451Medicare UPIN
FL12698Medicare UPIN