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NPI Code Detail

MEDICARE: CATHERINE C. MARINAK ANRP

MEDICARE: CATHERINE C. MARINAK ANRP
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
1363L00000XNurse PractitionerARNP1460382FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851397939
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE C. MARINAK ANRP
Provider Business Mailing Address
First Line : PO BOX 160748
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32716-0748
Country : US
Telephone Number : 612-533-9805
Fax Number : 561-253-3985
Provider Business Practice Location Address
First Line : 1630 S CONGRESS AVE STE 200
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-2171
Country : US
Telephone Number : 561-253-3980
Fax Number : 561-253-3980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 01/19/2025

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Directions to “ CATHERINE C. MARINAK ANRP” Practice Location

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