Provider Demographics
NPI:1780376459
Name:BELL, MARCUS CODY (LDO)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:CODY
Last Name:BELL
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
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Mailing Address - Street 1:9360 NAVARRE PKWY
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-2910
Mailing Address - Country:US
Mailing Address - Phone:850-939-3102
Mailing Address - Fax:850-939-3447
Practice Address - Street 1:9360 NAVARRE PKWY
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-2910
Practice Address - Country:US
Practice Address - Phone:850-939-3102
Practice Address - Fax:850-939-3447
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDO7328156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician