Massara Medical Center,LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OS8310 Issued in FL

Legal business name

MASSARA MEDICAL CENTER,LLC

Practice address

455 NE 5TH Ave
Suite D -297
Delray Beach, FL 33483-5658

Phone

(772) 233-9515

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Loretha King, DO

Title

Ceo/Cmo

Phone

(772) 233-9515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1417370784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NE 5TH AVE",
            "address_2": "SUITE D -297",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835658",
            "telephone_number": "772-233-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 NE 5TH AVE",
            "address_2": "SUITE D -297",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835658",
            "telephone_number": "772-233-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSARA MEDICAL CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LORETHA",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "772-233-9515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OS8310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylou Paulo-Francisco, DPM, PA
• Mas Advantage Family Care LLC
• Mas Telehealth Services
• Mas Telehealth Services
• Krysten Maselli, LMHC
• Anna Massaro, PTA
• Christine Elizabeth Massengill, ARNP
• Mario Masserano, M.D.
• Angelica Massey, DC
• Master Holistic Formulations

• Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.