NPI Code Detail JSON Logo

1215532361 NPI number — MARVOL ENTERPRISES LLC DBA MARVOL CARE

NPI Number: 1215532361
Health Care Provider/Practitioner: MARVOL ENTERPRISES LLC DBA MARVOL CARE

Information about “1215532361” NPI (MARVOL ENTERPRISES LLC DBA MARVOL CARE) exists in 1215532361 in HTML format HTML  |  1215532361 in plain Text format TXT  |  1215532361 in PDF (Portable Document Format) PDF  |  1215532361 in an XML format XML  formats.

NPI Number : 1215532361 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215532361",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MARVOL ENTERPRISES LLC DBA MARVOL CARE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "246 MESSINA PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOWEY IN THE HILLS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34737-3521",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-324-6073",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10525 MOSS PARK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32832",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-324-6073",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/04/2020",
    "LastUpdateDate": "12/04/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SUTHERLAND",
    "AuthorizedOfficialFirstName": "MARCELL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "352-424-6073",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332BX2000X",
        "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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