Marina Omarov, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9107465 Issued in FL

Practice address

2100 E Hallandale Beach Blvd Ste 302
Hallandale Beach, FL 33009-3771

Phone

(786) 252-8258

NPI assigned

Jan 11, 2014

Last updated

Apr 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Dermatology and Cosmetics Institute LLC

  • Physician Assistant
  • Hallandale Beach, FL
  • NPI 1548197791
  NPD Authorized official
• Florida Dermatology Associates Inc

  dba Palm Bay Dermatology

  • MOHS-Micrographic Surgery Physician
  • Palm Bay, FL
  • NPI 1073577136
  Medicare reassignment
• Center for Dermatology PA

  • MOHS-Micrographic Surgery Physician
  • Coral Springs, FL
  • NPI 1689693558
  NPD (past)
• Skin and Cancer Associates

  • Dermatology Physician
  • Plantation, FL
  • NPI 1740737576
  NPD (past)

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

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1316369234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 S OCEAN DR APT 1912",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096089",
            "telephone_number": "786-252-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 302",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093771",
            "telephone_number": "786-252-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAROV",
        "first_name": "MARINA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-11",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101059100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Gabriela Ochoa
• Oksana Buttita DPM PLLC
• Rizalina P Olegario
• Luis Miguel Oliva, D.M.D
• Ruth Olmstead, PH.D.
• Omnidental PLLC
• Ilkem Eren Onder, LMHC
• One Healthcare Solution Inc
• One Stop Medical, Inc.
• One Sweet World Acupuncture

• Physician Assistant in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.