Individual provider Active NPI

Marcelo Alves Farias II

  • General Practice Physician
  • Plantation, FL
National Provider Identifier
1114546108
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME155646 Issued in FL
Practice address
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone
(954) 723-1207
NPI assigned
Apr 10, 2020
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240914000783 FL Practitioner - General PracticePractitioner - Emergency Medicine 7517388192 Reassigns benefits to 1 organization

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
Mar Primary Care LLCGroup PAC ID 8325383052, 4 clinicians

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

LicenseStateTypeSpecialty
ME155646FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mar Primary Care LLC CurrentSince Jun 30, 2025 Accepting new patients
Mar Primary Care LLC CurrentSince Jun 30, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/19044/brand/3/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.