Marys Elite Care Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MARYS ELITE CARE INC.

Practice address

2914 Jim Johnson Rd
Plant City, FL 33566-4757

Phone

(813) 492-0127

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Pariss Smith

Title

Owner

Phone

(813) 492-0127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1275102162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 JIM JOHNSON RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335664757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 JIM JOHNSON RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335664757",
            "telephone_number": "813-492-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYS ELITE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PARISS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-492-0127"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin T Girling DPM PA (Foot Health Center)
• Lori Cox Martin, M.ED.
• Danielle Martinez, RMHCI
• Sofia Montoya Martinez, ARNP
• Amanda Martins, OTR/L, CLT
• Aditi Mas, PA-C
• Erniesha Mason
• Brian Lloyd Masters, ARNP
• Manjit Singh Matharu
• Michael S Mathews, DMD

• Developmental Disabilities Clinic/Center in Plant City, FL
• Providers in Plant City, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.