Provider Demographics
NPI:1245738566
Name:GEDEON, MARJORIE MERCIE (ARNP)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:MERCIE
Last Name:GEDEON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 TWO PINE DR
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-2500
Mailing Address - Country:US
Mailing Address - Phone:305-335-4920
Mailing Address - Fax:863-222-9343
Practice Address - Street 1:801 NORTHPOINT PKWY STE 95
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1812
Practice Address - Country:US
Practice Address - Phone:561-622-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9253458363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1245738566OtherNPI