Provider Demographics
NPI:1386874857
Name:MARINA, OVIDIU (MD)
Entity type:Individual
Prefix:
First Name:OVIDIU
Middle Name:
Last Name:MARINA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1775 ONE HEALING PL
Mailing Address - Street 2:TMH PHYSICIAN PARTNERS, RADIATION ONCOLOGY SPECIALISTS
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4600
Mailing Address - Country:US
Mailing Address - Phone:850-431-5255
Mailing Address - Fax:850-431-6039
Practice Address - Street 1:1775 ONE HEALING PL
Practice Address - Street 2:TMH PHYSICIAN PARTNERS RADIATION ONCOLOGY SPECIALISTS
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4600
Practice Address - Country:US
Practice Address - Phone:850-431-5255
Practice Address - Fax:850-431-6039
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2016-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301094360207R00000X
FLME1200002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine