MEDICARE: LINDA ANN MARRACCINI MD

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	207Q00000X	Family Medicine Physician	ME37382	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000896	OTHER	FL	NHP
2	216989	OTHER	FL	AVMED
3	95933	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1821014192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ANN MARRACCINI MD

Provider Business Mailing Address
First Line	:	8525 SW 92ND ST STE B4
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-7374
Country	:	US
Telephone Number	:	305-666-8858
Fax Number	:	305-665-1731

Provider Business Practice Location Address
First Line	:	8525 SW 92ND ST STE B4
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-7374
Country	:	US
Telephone Number	:	305-666-8858
Fax Number	:	305-665-1731

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	01/15/2026

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Directions to “ LINDA ANN MARRACCINI MD” Practice Location

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