Mr. Marc Edward Marchioli, PA
Mr. Marc Edward Marchioli, PA is a Physician Assistant in Lake Wales, Florida. Qualified in 2011, 15 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group and accepts Medicare assignment. Licensed in Florida, Georgia, Illinois and Kentucky and 6 more.
- Years since qualifying
- 15
- Licensed in
- FL, GA, IL, KY, MA, MI
- In the registry since
- 2011
- Specialties on file
- 11
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
410 S 11th StLake Wales, FL 33853-4203
Phone: (407) 303-7283
Fax: (407) 303-0473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA9106961 (FL) |
|---|---|
| Critical Care Medicine (Internal Medicine) Physician | Taxonomy 207RC0200X · Licence 965 (GA) |
| Hospitalist Physician | Taxonomy 208M00000X · Licence 965 (GA) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA-TF-0188 (MA) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA3370 (KY) |
| Physician Assistant | Taxonomy 363A00000X · Licence 5601010961 (MI) |
| Physician Assistant | Taxonomy 363A00000X · Licence 0110010754 (VA) |
| Physician Assistant | Taxonomy 363A00000X · Licence 085009455 (IL) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 023516 (NY) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence MA055058 (PA) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA2023-0208 (NM) |
Record details
| NPI number | 1639450778 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 2, 2011 |
| Last updated in NPPES | August 18, 2025 |
| Certification date | August 18, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Florida Hospital Medical Group Inc — 1715 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Lake Wales
-
Jwlex, LLC
410 S 11th St, Lake Wales, FL 33853-4203 · (917) 880-2083