Provider Demographics
NPI:1194584896
Name:MARION FAMILY MEDICINE LLC
Entity type:Organization
Organization Name:MARION FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSAMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABY JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-362-4223
Mailing Address - Street 1:1627 SW 1ST AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6515
Mailing Address - Country:US
Mailing Address - Phone:352-362-4223
Mailing Address - Fax:
Practice Address - Street 1:1627 SW 1ST AVE STE 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6515
Practice Address - Country:US
Practice Address - Phone:352-362-4223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty