Individual provider Active NPI

Marilyn Llavona-Suarez, M.D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1154586972
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1093 Issued in FL
Practice address
10621 Wittenberg Way
Orlando, FL 32832-7028
Phone
(407) 994-4606
Fax
(888) 338-4430
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17207 PR
General Practice Physician 208D00000X ACN1093 FL Primary

Addresses

Primary practice location

10621 Wittenberg Way
Orlando, FL 32832-7028

Mailing address

10621 Wittenberg Way
Orlando, FL 32832-7028
Phone (407) 994-4606

Other names 1

  • Dr. Marilyn Llavona Other name

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
I20181101001113 FL Practitioner - General Practice 1557614930 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carrousel Therapy Center CorporationGroup PAC ID 3173893385, 5 clinicians
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

1906 N John Young Pkwy
Kissimmee, FL 34741-3221
Phone (407) 910-2941

264 A Palm Coast Pkwy NE
Island Doctors Parkway
Palm Coast, FL 32137-8217
Phone (386) 446-5505

3201 Budinger Ave
Saint Cloud, FL 34769-7203
Phone (407) 910-2941

Hospital & facility affiliations

  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17207PRMDClinical Social Worker
ACN1093FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Group LLC CurrentSince May 9, 2022 Accepting new patients
Carrousel Therapy Center Corporation CurrentSince May 1, 2025 Accepting new patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Mar 5, 2024 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Mar 5, 2024 Accepting new patients
Roy H Hinman MD PA CurrentSince Jul 14, 2025 Accepting new patients
Island Doctors Intrastate LLC CurrentSince Jul 14, 2025 Accepting new patients
Columbia Medical Group PastSince May 9, 2022 Accepting new patients
Jdrpunkt PastSince Jan 19, 2025 Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients

Locations

811 N Summit St
Crescent City, FL 32112
Phone (386) 698-2101

1906 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 887-5505

3907 S Jog Rd
Lake Worth, FL 33467
Phone (561) 432-3455

264 Palm Coast Pkwy NE
#A
Palm Coast, FL 32137
Phone (386) 446-5505

264A Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 446-5505

264A Palm Coast Pkwy NE
Ste 105
Palm Coast, FL 32137

3201 Budinger Ave
Saint Cloud, FL 34769
Phone (407) 498-4079

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

2460 Old Moultrie Rd
Ste 1
St Augustine, FL 32086
Phone (904) 293-0299

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

1511 Buenos Aires Blvd
The Villages, FL 32159

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1154586972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 WITTENBERG WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327028",
            "telephone_number": "407-994-4606",
            "fax_number": "888-338-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 WITTENBERG WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327028",
            "telephone_number": "407-994-4606",
            "fax_number": "888-338-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAVONA-SUAREZ",
        "first_name": "MARILYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17207",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "LLAVONA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.