Active NPI
Michael Palac Marfori, D.M.D.
- Pediatric Dentistry
- Orlando, FL
National Provider Identifier
1194885913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN13893
- Practice address
- 4151 Hunters Park LN
Suite 124
Orlando, FL 32837-3617 - Phone
- (407) 859-1418
- Fax
- (407) 859-1252
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN13893 | FL | Primary |
Addresses
Primary practice location
4151 Hunters Park LN
Suite 124
Orlando, FL 32837-3617
Mailing address
4151 Hunters Park LN
Suite 124
Orlando, FL 32837-3617
Phone (407) 859-1418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN13893 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BRKN Dental PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Orlando, FL
- NPI 1336941491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1194885913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 HUNTERS PARK LN",
"address_2": "SUITE 124",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328373617",
"telephone_number": "407-859-1418",
"fax_number": "407-859-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 HUNTERS PARK LN",
"address_2": "SUITE 124",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328373617",
"telephone_number": "407-859-1418",
"fax_number": "407-859-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARFORI",
"first_name": "MICHAEL",
"middle_name": "PALAC",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN13893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.