Provider Demographics
NPI:1386887883
Name:MARCUS, AKIVA JOSHUA
Entity type:Individual
Prefix:DR
First Name:AKIVA
Middle Name:JOSHUA
Last Name:MARCUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 N CONGRESS AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3282
Mailing Address - Country:US
Mailing Address - Phone:561-881-2640
Mailing Address - Fax:561-863-2304
Practice Address - Street 1:4700 N CONGRESS AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3282
Practice Address - Country:US
Practice Address - Phone:561-881-2640
Practice Address - Fax:561-863-2304
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123541207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology