Active NPI
Marcelo Alves Farias II
- General Practice Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME155646
- Practice address
- 8201 W Broward Blvd
Plantation, FL 33324-2701 - Phone
- (954) 723-1207
- NPI assigned
- Apr 10, 2020
- Last updated
- Nov 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME155646 | FL | Primary |
Addresses
Primary practice location
8201 W Broward Blvd
Plantation, FL 33324-2701
Mailing address
15593 SW 28TH Avenue Rd
Ocala, FL 34473-3408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 W Saint Isabel St
Suite F
Tampa, FL 33607-6371
Phone (813) 935-4744
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME155646 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mar Primary Care LLC | Current | Accepting new patients | |
| Mar Primary Care LLC | Current | Accepting new patients |
Locations
114 W Highland Blvd
Inverness, FL 34452
Phone (352) 560-0333
216 S Seminole Ave
Inverness, FL 34452
Phone (352) 228-4984
2901 W Saint Isabel St
Ste F
Tampa, FL 33607
Phone (813) 935-4744
Interoperability endpoints
- https://api.platform.athenahealth.com/19044/brand/3/csg/1/fhir/r4
- marcelo.farias.1@19044.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Citrus Medical Associates
- Primary Care Clinic/Center
- Tampa, FL
- NPI 1417423344
-
dba Citrus Medical Associates
- Internal Medicine Physician
- Inverness, FL
- NPI 1659049732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooksville, FL
- NPI 1093884223
-
dba HCA Florida Citrus Hospital
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
-
- Rehabilitation Hospital
- Lecanto, FL
- NPI 1487380796
Inpatient rehabilitation facility
-
dba Tampa General Hospital Crystal River
- General Acute Care Hospital
- Crystal River, FL
- NPI 1407637531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1114546108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15593 SW 28TH AVENUE RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344733408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242701",
"telephone_number": "954-723-1207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIAS",
"first_name": "MARCELO",
"middle_name": "ALVES",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-10",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME155646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.