Male or Other

Dr. Marc P. Underhill M.D.

Diagnostic Radiology Physician in Orlando, FL(View on Map)

Full Name

Dr. Marc Patrick Underhill M.D.

NPI Number

1619188661

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/24/2007

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Florida
Indiana

License Number

ME143305
01069066A

Contact
Information

Purpose

Mailing
Location

Address

52 W UNDERWOOD ST
52 W UNDERWOOD ST

City

Orlando
Orlando

State

FL
FL

Postal Code

32806-1110
32806-1110

Country

US
US

Telephone Number

(321) 842-8475
(321) 842-8475

Identifiers

Identifier

NDWHR
PS688
MH000
106130600
M400062727
201011260

Identifier State

FL
FL
FL
FL
IN
IN

Identifier Issuer

BCBS
MEDICARE PTAN OHMG
MEDICARE PTAN OHRI
Unknown
MEDICARE SVMG
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/28/2023

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