Organization Active NPI

Mario Marsilio Jr DC PA

  • Chiropractor
  • Winter Park, FL
National Provider Identifier
1174912448
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4335 Issued in FL
Legal business name
MARIO MARSILIO JR DC PA
Practice address
3580 Aloma Ave Ste 3
Winter Park, FL 32792-4011
Phone
(407) 657-6441
Fax
(407) 657-7647
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Mario Marsilio Jr., DC
Title
President
Phone
(407) 657-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4335 FL Primary

Addresses

Primary practice location

3580 Aloma Ave Ste 3
Winter Park, FL 32792-4011

Mailing address

3580 Aloma Ave Ste 3
Winter Park, FL 32792-4011
Phone (407) 657-6441

National Provider Directory

National Provider Directory

Locations

3580 Aloma Ave
Ste 3
Winter Park, FL 32792
Phone (407) 657-6441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1174912448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 ALOMA AVE STE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924011",
            "telephone_number": "407-657-6441",
            "fax_number": "407-657-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 ALOMA AVE STE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924011",
            "telephone_number": "407-657-6441",
            "fax_number": "407-657-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO MARSILIO JR DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "MARSILIO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-657-6441",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.