Individual provider · Type 1 NPI

Marc Edward Marchioli, PA

Physician Assistant · Lake Wales, FL

NPI number 1639450778 Active

Practice location

410 S 11th St
Lake Wales, FL 33853-4203

Call (407) 303-7283 Map

Fax (407) 303-0473

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician 207RC0200X965 (GA)
Hospitalist Physician 208M00000X965 (GA)
Physician Assistant 363A00000XPA-TF-0188 (MA)
Physician Assistant 363A00000XPA3370 (KY)
Physician Assistant 363A00000X5601010961 (MI)
Physician Assistant 363A00000X0110010754 (VA)
Physician Assistant 363A00000X085009455 (IL)
Medical Physician Assistant 363AM0700X023516 (NY)
Medical Physician Assistant 363AM0700XMA055058 (PA)
Medical Physician Assistant 363AM0700XPA2023-0208 (NM)
Physician Assistant Primary 363A00000XPA9106961 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639450778

Marc Edward Marchioli, PA's National Provider Identifier is 1639450778, issued on Sep 2, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lake Wales, FL. The record was last updated on Aug 18, 2025.