Luis G Marmol MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME68622 Issued in FL

Legal business name

LUIS G MARMOL MD PA

Practice address

2525 Harbor Blvd Ste 303
Port Charlotte, FL 33952-5344

Phone

(941) 235-1901

Fax

(941) 235-1905

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Luis G Marmol, M.D.NPI 1063442606

Title

Physician

Phone

(941) 235-1901

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Luis Gerardo Marmol, M.D.

  • Otolaryngology Physician
  • Port Charlotte, FL
  • NPI 1063442606
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1255367702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342650907",
            "telephone_number": "941-235-1901",
            "fax_number": "941-235-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD STE 303",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525344",
            "telephone_number": "941-235-1901",
            "fax_number": "941-235-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS G MARMOL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "MARMOL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-235-1901",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME68622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR2374",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lloyd Luberger Jr.
• Stacey Luczejko, ED.S, MA, LPC, NCC
• Katherine Ann Ludeman, ARNP
• Luis F Fernandez MD PA
• Luis Fernandez, MD
• Randyel Luis, RPH
• Matthew Luttrell
• Lonnie Luu, MD
• Luxottica of America Inc.
• Barbara Luz

• Otolaryngology Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.