Provider Demographics
NPI:1144515917
Name:MARQUES, ANDRE SCOFIELD (MD)
Entity type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:SCOFIELD
Last Name:MARQUES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:237 S WESTMONTE DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-4262
Mailing Address - Country:US
Mailing Address - Phone:407-774-1112
Mailing Address - Fax:407-774-1130
Practice Address - Street 1:237 S WESTMONTE DR
Practice Address - Street 2:SUITE 111
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-4262
Practice Address - Country:US
Practice Address - Phone:407-774-1112
Practice Address - Fax:407-774-1130
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2016-03-01
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Provider Licenses
StateLicense IDTaxonomies
FLME121125207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHZ729ZMedicare PIN