IVAN MARCANO (NPI# 1962023317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962023317 |
| Entity Type | Individual |
| Full Name | IVAN MARCANO |
| Practice Address |
2240 Sw 70th Ave Ste D Davie FL 33317-7112 |
| Mailing Address |
5252 Nw 85th Ave Apt 1005 Doral FL 33166-5332 |
| Practice Telephone | 9544308000 |
| Practice Fax Number | 9542120150 |
| Mailing Telephone | 3052979695 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA79241 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2240 SW 70TH AVE STE D |
| City | DAVIE |
| State | FL |
| Zip Code | 33317-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371114 | Liz Mariana Diaz Bravo | Massage Therapist | 6290 Sw 24th Pl Apt 204, Davie, FL 33314-1161 | 2020-09-18 |
| 1255964052 | Carol C Espana Acosta | Massage Therapist | 4745 Volunteer Rd Ste 304, Davie, FL 33330-2126 | 2020-02-20 |
| 1669807293 | Rita Ellen Vidur | Massage Therapist | 2883 S University Dr, Davie, FL 33328-1440 | 2013-09-13 |
| 1811207731 | John F Raether | Massage Therapist | 14550 Sw 21st St, Davie, FL 33325-4925 | 2010-10-13 |
| 1659691517 | Pedro Mario Rodriguez | Massage Therapist | 15061 Durham Ln, Davie, FL 33331 | 2010-06-02 |
| 1437471034 | Rejuvenate Massage and Wellness | Massage Therapist | 6943 Stirling Rd, Davie, FL 33314-7113 | 2010-02-23 |
| 1619144599 | Cheri Lee Houle | Massage Therapist | 710 Sw 134th Ave, Davie, FL 33325-3708 | 2008-05-10 |
| 1144418559 | Teri Y Thomas | Massage Therapist | 4851 Sw 64th Way, Davie, FL 33314-4356 | 2007-10-10 |
| 1013412667 | Jennifer Fogel-wartel | Massage Therapist | 10400 Griffin Rd Ste 204, Davie, FL 33328-3321 | 2018-03-27 |
| 1699216598 | Lourdes Godomar | Massage Therapist | 4431 Sw 64th Ave, 105, Davie, FL 33314-3458 | 2017-03-13 |
| Find all providers in DAVIE | ||||
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| 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.