MEDICARE: MARLEN MARRERO APRN

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	APRN11021363	FL
2	163W00000X	Registered Nurse	9253103	FL

General Provider Information

NPI Number	:	1598378671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEN MARRERO APRN

Provider Business Mailing Address
First Line	:	8333 NW 53RD ST FL 6
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33166-4783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4543 S MANHATTAN AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-2330
Country	:	US
Telephone Number	:	813-837-2461
Fax Number	:	813-835-1731

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

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	06/24/2026

Similar Medicare Providers

1053319699 — DR. GONZALO A GONZALEZ M.D
Practice Location Address:

4543 S MANHATTAN AVE
TAMPA, FL
33611-2330

Practice Phone: 855-226-6633
Practice Fax: 866-285-7068

1457337552 — IVAN A RAMOS MD
Practice Location Address:

4543 S MANHATTAN AVE
TAMPA, FL
33611-2330

Practice Phone: 813-837-2461
Practice Fax: 813-835-1731

1427016294 — DR. GANESAN RAJASEKARAN M.D.
Practice Location Address:

4543 S MANHATTAN AVE , SUITE 101
TAMPA, FL
33611-2330

Practice Phone: 813-837-0262
Practice Fax: 813-837-0919

1669423141 — DR. EUGENE R DELUCIA III D.O.
Practice Location Address:

4543 S MANHATTAN AVE , SUITE 102
TAMPA, FL
33611-2330

Practice Phone: 813-837-2461
Practice Fax: 813-835-1731

1346279148 — DR. NIMESH PANCHIGAR M.D.
Practice Location Address:

4543 S MANHATTAN AVE STE 103
TAMPA, FL
33611-2330

Practice Phone: 813-831-8888
Practice Fax: 813-831-8888

1497866560 — TAMPA INTERNIST PROFESSIONAL ASSOCIATE
Practice Location Address:

4543 S MANHATTAN AVE , STE. 103
TAMPA, FL
33611-2330

Practice Phone: 813-831-8888
Practice Fax: 813-831-6292

Directions to “ MARLEN MARRERO APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.