Provider Demographics
NPI:1750339776
Name:ANDREW MARLOWE, MD, PA
Entity type:Organization
Organization Name:ANDREW MARLOWE, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-379-3277
Mailing Address - Street 1:5432 BEE RIDGE RD
Mailing Address - Street 2:ST 150
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1514
Mailing Address - Country:US
Mailing Address - Phone:941-379-3277
Mailing Address - Fax:941-379-6277
Practice Address - Street 1:5432 BEE RIDGE RD
Practice Address - Street 2:ST 150
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1515
Practice Address - Country:US
Practice Address - Phone:941-379-3277
Practice Address - Fax:941-379-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4901Medicare ID - Type Unspecified