Provider Demographics
NPI:1346521150
Name:FREY, MARCUS ALEXANDER (DPM)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:ALEXANDER
Last Name:FREY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2111 SE 15TH LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4124
Mailing Address - Country:US
Mailing Address - Phone:352-350-2095
Mailing Address - Fax:352-350-2077
Practice Address - Street 1:2760 SE 17TH ST STE 102
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5550
Practice Address - Country:US
Practice Address - Phone:352-351-1555
Practice Address - Fax:351-351-1330
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3605213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHE112YMedicare UPIN