Provider Demographics
NPI:1023202991
Name:MARKLEY, JUDY A (AP)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:A
Last Name:MARKLEY
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 W BAKER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-2912
Mailing Address - Country:US
Mailing Address - Phone:813-752-6001
Mailing Address - Fax:813-754-3162
Practice Address - Street 1:1802 W BAKER ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-2912
Practice Address - Country:US
Practice Address - Phone:813-752-6001
Practice Address - Fax:813-754-3162
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 1065171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist