Provider Demographics
NPI:1124260443
Name:MARZOUKA, GEORGE R (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:R
Last Name:MARZOUKA
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NW 16TH STREET
Mailing Address - Street 2:OFFICE C1006C (MAIL CODE 111)
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125
Mailing Address - Country:US
Mailing Address - Phone:305-575-3160
Mailing Address - Fax:305-575-3147
Practice Address - Street 1:1201 NW 16TH STREET
Practice Address - Street 2:MAIL CODE 111
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-575-3160
Practice Address - Fax:305-575-3147
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112884207P00000X, 207R00000X, 2085U0001X, 207RC0000X
390200000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program