Healthcare Provider Details

I. General information

NPI: 1275185688
Provider Name (Legal Business Name): CLAUDIA A MARINOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4373 VENUS AVE
WEST PALM BEACH FL
33406-4041
US

IV. Provider business mailing address

4285 NW 66TH PL
BOCA RATON FL
33496-4029
US

V. Phone/Fax

Practice location:
  • Phone: 561-990-8089
  • Fax:
Mailing address:
  • Phone: 561-990-8089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: