Provider Demographics
NPI:1790245900
Name:SCHILLING, MARCOS (ADMINISTRATOR)
Entity Type:Individual
Prefix:
First Name:MARCOS
Middle Name:
Last Name:SCHILLING
Suffix:
Gender:M
Credentials:ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 E HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-3557
Mailing Address - Country:US
Mailing Address - Phone:954-415-9094
Mailing Address - Fax:954-580-6667
Practice Address - Street 1:824 E HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-3557
Practice Address - Country:US
Practice Address - Phone:954-415-9094
Practice Address - Fax:954-580-6667
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health