MR. SHAWN MARINO (NPI# 1104304385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104304385 |
Entity Type | Individual |
Full Name | MR. SHAWN MARINO |
Practice Address |
926 Saxon Blvd Orange City FL 32763-8313 |
Practice Telephone | 3867741881 |
Mailing Telephone | 3867741881 |
Enumeration Date | 2018-07-31 |
Last Update Date | 2018-07-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
00086563 | FL | Technologists, Technicians & Other Technical Service Providers |
Street Address |
926 SAXON BLVD |
City | ORANGE CITY |
State | FL |
Zip Code | 32763-8313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073786265 | Kathleen Iosue | Nurse Practitioner | 926 Saxon Blvd, Orange City, FL 32763-8313 | 2008-04-08 |
1164021945 | Walk-in Family Clinic LLC | Family Medicine | 926 Saxon Blvd, Orange City, FL 32763-8313 | 2020-10-22 |
1053845099 | Jena Medical Group, LLC | Allergy & Immunology | 926 Saxon Blvd, Orange City, FL 32763-8313 | 2017-04-17 |
1457893471 | Arvin Birrey | Nurse Practitioner | 926 Saxon Blvd, Orange City, FL 32763-8313 | 2016-11-08 |
1851564819 | Surojdial Singh | Physician Assistant | 926 Saxon Blvd, Orange City, FL 32763-8313 | 2008-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
Find all providers in zip 32763 |
Taxonomy Code | 246XC2903X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Cardiovascular |
Specialization | Vascular Specialist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275926503 | Stephen Jackson | Spec/Tech, Cardiovascular | 2577 Sawgrass Lake Ct, Cape Coral, FL 33909-2935 | 2015-03-11 |
1780871004 | Juan C Galindo | Spec/Tech, Cardiovascular | 3271 Nw 7th St Ste 202, Miami, FL 33125-4141 | 2007-10-01 |
1962898833 | Jeffrey Kent Raines | Spec/Tech, Cardiovascular | 9150 Sw 87th Ave, Suite 213, Miami, FL 33176-2319 | 2015-04-08 |
1679695027 | Antonio C Hernandez | Spec/Tech, Cardiovascular | 3360 Nw 72nd Ave, Miami, FL 33122-1320 | 2007-04-05 |
1407840937 | Diagnostic Portable Lab | Spec/Tech, Cardiovascular | 21110 Biscayne Blvd, Ste 206, Aventura, FL 33180-1227 | 2005-09-12 |
City | ORANGE CITY |
Zip Code | 32763 |
Please comment or provide details below to improve the information on MR. SHAWN MARINO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.