Provider Demographics
NPI:1164258059
Name:HARVEY, MARCELL SANCHEZ
Entity type:Individual
Prefix:MR
First Name:MARCELL
Middle Name:SANCHEZ
Last Name:HARVEY
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 1:2929 MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32448-2706
Mailing Address - Country:US
Mailing Address - Phone:850-639-1425
Mailing Address - Fax:
Practice Address - Street 1:2929 MILTON AVE
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32448-2706
Practice Address - Country:US
Practice Address - Phone:850-573-0359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care