ANN LAUREN MARRA (NPI# 1336132554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336132554 |
| Entity Type | Individual |
| Full Name | ANN LAUREN MARRA |
| Credential | D.C., C.I.M.E. |
| Practice Address |
12082 Cortez Blvd Brooksville FL 34613-7371 |
| Practice Telephone | 3526842707 |
| Practice Fax Number | 3526881282 |
| Mailing Telephone | 3526842707 |
| Mailing Fax Number | 3526881282 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2015-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 1509 | AL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | INACTIVE STATUS | NJ | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | H6649 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | K8155 | 01 |
| Street Address |
12082 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-7371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134413420 | Philip John Brunton | Chiropractor | 12082 Cortez Blvd, Brooksville, FL 34613-7371 | 2011-06-03 |
| 1225224686 | A M Eldin Md Pa | Internal Medicine | 12082 Cortez Blvd, Brooksville, FL 34613-7371 | 2007-09-19 |
| 1679768410 | Accurate Chiropractic Clinic Pa | Chiropractor | 12082 Cortez Blvd, Brooksville, FL 34613-7371 | 2007-09-13 |
| 1568430452 | Adel M Mohi Eldin | Specialist | 12082 Cortez Blvd, Brooksville, FL 34613-7371 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247967 | Summer Nichole Vasseur | Chiropractor | 608 Decatur Ave, Brooksville, FL 34601-3236 | 2020-05-27 |
| 1366940116 | Zackery T Wynn | Chiropractor | 3155 Aerial Way, Brooksville, FL 34604 | 2018-01-26 |
| 1801256383 | Tlc Family Medical & Wellness Center, Inc | Chiropractor | 13315 Cortez Blvd., Brooksville, FL 34613-4888 | 2016-02-26 |
| 1558458372 | David K Dahmer | Chiropractor | 13315 Cortez Blvd, Brooksville, FL 34613-4888 | 2006-10-05 |
| 1891755617 | Thomas Paul Bracken | Chiropractor | 955 Candlelight Blvd, Brooksville, FL 34601 | 2006-03-24 |
| 1538152533 | Donald J Hensley, Pa | Chiropractor | 291 E Jefferson St, Brooksville, FL 34601-2699 | 2005-08-24 |
| 1497747869 | Charles Richard Price | Chiropractor | 934 Candlelight Blvd, Brooksville, FL 34601-3116 | 2005-08-22 |
| 1649262775 | Roy J Schleman | Chiropractor | 813 S Broad St, Brooksville, FL 34601-3106 | 2005-08-16 |
| 1467846774 | Christian Schneider | Chiropractor | 13315 Cortez Blvd, Brooksville, FL 34613-4888 | 2015-03-25 |
| 1447524913 | Family Chiropractic Health Centers Corp | Chiropractor | 13315 Cortez Blvd, Brooksville, FL 34613-4888 | 2012-03-01 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
Please comment or provide details below to improve the information on ANN LAUREN MARRA.
| 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.