Provider Demographics
NPI:1154349637
Name:MARQUETTE, RAYMOND J (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:J
Last Name:MARQUETTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SE 17TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4191
Mailing Address - Country:US
Mailing Address - Phone:352-622-2229
Mailing Address - Fax:
Practice Address - Street 1:1800 SE 17TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4191
Practice Address - Country:US
Practice Address - Phone:352-622-2229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70094207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250124400Medicaid
FLG28637Medicare UPIN
FL250124400Medicaid