Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marian Ingram, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1508361361

Marian Ingram, PHYSICIANASSISTANT is a Physician Assistant in Plantation, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018

Practice location Address checks out

350 NW 84th Ave Ste 102
Plantation, FL 33324-1820
Phone: (954) 370-7555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111067 (FL)

Record details

NPI number1508361361
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021

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