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1063713824
MARQUIS PEASE
FORT MYERS, FL
NPI
1063713824
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Other Name
MARQUIS TAYS SIMMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL pa9105740)
Enumeration Date
2010-11-10
Last Update Date
2016-03-08
Business Address
-- MARQUIS PEASE PA
15681 NEW HAMPSHIRE CT
FORT MYERS, FL 33908-4123
Phone number: 239-437-4444
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Mailing Address
-- MARQUIS PEASE PA
4371 VERONICA S SHOEMAKER BLVD ATTN: CREDENTIALING DEPT
FORT MYERS, FL 33916-2216
Phone number: 239-274-8200
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