Marc Marchioli, PA

NPI 1639450778 · on the registry since 2011

Practice

Address: 410 S 11th St
Lake Wales, FL 33853
Phone: (407) 303-7283
Fax: (407) 303-0473
Organisation at this address: Jwlex, Llc
Lomba Md Pa
Lake Wales Clinic Corp
Vicente S Verzosa Md Pa
Lake Wales Medial Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 207RC0200X
208M00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363AM0700X
363AM0700X
363AM0700X
Licence states on file: GA, MA, KY, MI, VA, IL, NY, PA, NM, FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida