NPI 1023579604

Marcos David Marugan-Wyatt, DO

Practitioner Emergency Medicine Physician Gainesville, FL

Practice location

Address: 6500 W Newberry Rd, Gainesville, FL 32605-4309
Phone: (352) 333-5168
Mailing address: 1147 NW 64th Ter, Gainesville, FL 32605-4218

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence OS18236 (FL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023579604
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2019
Record last updated: 25 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.