MEDICARE: ROBERT A MARRERO ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP3052012	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y6972	OTHER	FL	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396736096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT A MARRERO ARNP

Provider Business Mailing Address
First Line	:	PO BOX 919771
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-9771
Country	:	US
Telephone Number	:	239-278-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 PINE ISLAND RD STE M
Second Line	:
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33903-3700
Country	:	US
Telephone Number	:	239-278-3600
Fax Number	:	239-275-9159

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	08/17/2021

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