Provider Demographics
NPI:1861496515
Name:CSETE, MARC ETHAN (MD,PA)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:ETHAN
Last Name:CSETE
Suffix:
Gender:M
Credentials:MD,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 ALTON RD STE 710
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2877
Mailing Address - Country:US
Mailing Address - Phone:305-534-2155
Mailing Address - Fax:305-534-2035
Practice Address - Street 1:4302 ALTON RD STE 710
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2877
Practice Address - Country:US
Practice Address - Phone:305-534-2155
Practice Address - Fax:305-534-2035
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 44432207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL046037100Medicaid
FL650302065OtherEIN