Provider Demographics
NPI:1710774773
Name:MARSHALL, DONALD II
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:MARSHALL
Suffix:II
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20450 PONY TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32736-8523
Mailing Address - Country:US
Mailing Address - Phone:305-335-0691
Mailing Address - Fax:
Practice Address - Street 1:20450 PONY TRAIL CT
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32736-8523
Practice Address - Country:US
Practice Address - Phone:305-335-0691
Practice Address - Fax:305-335-0691
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies