Provider Demographics
NPI:1508880733
Name:MARSHALL, DEIRDRE MARGARET (MD ,FACS, FAAP)
Entity Type:Individual
Prefix:DR
First Name:DEIRDRE
Middle Name:MARGARET
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MD ,FACS, FAAP
Other - Prefix:
Other - First Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6360 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4836
Mailing Address - Country:US
Mailing Address - Phone:305-663-5790
Mailing Address - Fax:305-663-5730
Practice Address - Street 1:6360 SUNSET DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4836
Practice Address - Country:US
Practice Address - Phone:305-663-5790
Practice Address - Fax:305-663-3790
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00641502086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery