DR. SHARON PEACHEY MARSHALL, PA
Ambulatory Health at Venetia Bay Blvd, Venice, FL

License number
Florida 8043
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DR. SHARON JEAN PEACHEY MARSHALL PSYD
Title: PRESIDENT
Phone: (941) 480-9000
Address
Address
871 Venetia Bay Blvd SUITE 360, Venice, FL 34285
National Provider ID: 1225455678
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. SHARON PEACHEY MARSHALL, PA

Venice, FL

Registration:
Jul 5, 2013
Addresses:
871 Venetia Bay Blvd 360, Venice, FL 34285 (Physical)
871 Venetia Bay Blvd SUITE 360, Venice, FL 34285 (Mailing)
State ID:
P13000057189
Business type:
Florida Profit Corporation
Presidents:
Sharon Peachey Marshall, 871 Venetia Bay Blvd SUITE 360, Venice, FL 34285 (Physical),Sharon Jean Peachey Marshall (President)
Agent:
Peachey Marshall,871 Venetia Bay Blvd SUITE 360, Venice, FL 34285 (Physical)
EIN:
46-3096478

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