Healthcare Provider Details

I. General information

NPI: 1851397939
Provider Name (Legal Business Name): CATHERINE C. MARINAK ANRP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 01/19/2025
Certification Date: 01/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 S CONGRESS AVE STE 200
PALM SPRINGS FL
33461-2171
US

IV. Provider business mailing address

PO BOX 160748
ALTAMONTE SPRINGS FL
32716-0748
US

V. Phone/Fax

Practice location:
  • Phone: 561-253-3980
  • Fax: 561-253-3980
Mailing address:
  • Phone: 612-533-9805
  • Fax: 561-253-3985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP1460382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: