Marc Eddy Theodor
PMHNP | Nurse Practitioner
3191 Harbor Blvd Ste A, Port Charlotte
Florida, 33952-6755
941-883-4518
Marc Eddy Theodor is a Port Charlotte, Florida based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Marc Eddy Theodor is APRN11036065 for Psych/Mental Health NP in Florida. His current practice location is 3191 Harbor Blvd Ste A, Port Charlotte. Patients can reach him at 941-883-4518. Marc Eddy Theodor is PMHNP with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1750105995.
Marc Eddy Theodor has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Marc Eddy Theodor speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Marc Eddy Theodor |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | PMHNP |
| Practice Address: | 3191 Harbor Blvd Ste A, Port Charlotte,
Florida, 33952-6755 |
| Phone: | 941-883-4518 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1750105995 |
| NPI Enumeration Date: | 13 Nov, 2024 |
| NPI Last Update On: | 01 Jul, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marc Eddy Theodor are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11036065 | Psych/Mental Health NP | Florida | Primary | |
| RN9555670 | Registered Nurse | Florida | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Marc Eddy Theodor
3191 Harbor Blvd Ste A,
Port Charlotte, Florida |
| Zip: | 33952-6755 |
| Phone Number: | 941-883-4518 |
Patients can reach Marc Eddy Theodor at
3191 Harbor Blvd Ste A, Port Charlotte, Florida or can
call to book an appointment on 941-883-4518.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.