Provider Demographics
NPI:1902514292
Name:MARSHALL, STEPHEN (PA-C)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WEST FLORIDA MEDICAL CENTER CLINIC
Mailing Address - Street 2:8333 N. DAVIS HWY
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514
Mailing Address - Country:US
Mailing Address - Phone:850-474-8320
Mailing Address - Fax:850-474-8791
Practice Address - Street 1:WEST FLORIDA MEDICAL CENTER CLINIC
Practice Address - Street 2:8333 N. DAVIS HWY
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514
Practice Address - Country:US
Practice Address - Phone:850-474-8320
Practice Address - Fax:850-474-8791
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9120004363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant