Provider Demographics
NPI:1558948968
Name:FOX, MARTA (MD, MBA)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:
Other - Last Name:TUROWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,MBA
Mailing Address - Street 1:1600 S ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2510
Mailing Address - Country:US
Mailing Address - Phone:954-355-4400
Mailing Address - Fax:
Practice Address - Street 1:1215 LEE ST # 800744
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0816
Practice Address - Country:US
Practice Address - Phone:434-924-1931
Practice Address - Fax:434-243-5770
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program