Stephanie Danielle Marzola, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME131562 Issued in FL

Practice address

5563 Maggiore Blvd
Lakeland, FL 33805-2389

Phone

(863) 899-4133

NPI assigned

Jun 6, 2014

Last updated

Jun 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: stephanie.marzola.p1@direct.bondclinicpa.nextgenshare.com

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.

• Baycare Urgent Care, LLC

  • General Practice Physician
  • Largo, FL
  • NPI 1184677007

  Family Medicine

  Medicare reassignment NPD
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  Medicare reassignment NPD
• Baycare Urgent Care, LLC

  • General Practice Physician
  • New Port Richey, FL
  • NPI 1629514070

  Family Medicine

  NPD
• Bond Clinic PA

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1881639193

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1174936223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 MAGGIORE BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052389",
            "telephone_number": "863-899-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 MAGGIORE BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052389",
            "telephone_number": "863-899-4133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13670 Walsingham Road",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337743512",
            "country_code": "US",
            "telephone_number": "727-593-9848",
            "fax_number": "727-596-4532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 Midflorida Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "33813",
            "country_code": "US",
            "telephone_number": "863-701-7188",
            "fax_number": "863-701-2014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 1st St N",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814111",
            "country_code": "US",
            "telephone_number": "863-293-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARZOLA",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116027077",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021862200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• German Marulanda, MD
• Jonathan Andrew Marx, R.R.A., R.T.(R)(ARRT
• Jonathyn Andrew Marx, PA-C
• Robert Lee Marx Jr., PHARM.D.
• Mary L Pepine MD, PLLC
• Amanda Marika Mascarenhas
• Nichole Mask
• Linda Sue Mason
• Tyshondra D Mason, PTA
• Mohammad Hamza Masood, MD

• Family Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.