Organization Active NPI

Marcole Associates PA

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1437189792
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0034327 Issued in FL
Legal business name
MARCOLE ASSOCIATES PA
Practice address
6405 N Federal Hwy
Suite 100
Fort Lauderdale, FL 33308-1412
Phone
(954) 491-6300
Fax
(954) 351-1529
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Dr. Martin E Coleman, M.D.
Title
President
Phone
(954) 491-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0034327 FL Primary

Addresses

Primary practice location

6405 N Federal Hwy
Suite 100
Fort Lauderdale, FL 33308-1412

Mailing address

6405 N Federal Hwy
Suite 100
Fort Lauderdale, FL 33308-1412
Phone (954) 491-6300

Other identifiers 2

IdentifierTypeStateIssuer
93725OtherFLBCBC OF FL
062535300MedicaidFL

National Provider Directory

National Provider Directory

Locations

4800 NE 20th Ter
Ste 109
Ft Lauderdale, FL 33308
Phone (954) 338-3021

6405 N Federal Hwy
Ste 100
Ft Lauderdale, FL 33308
Phone (954) 491-6300

2021 E Commercial Blvd
Ste 301
Ft Lauderdale, FL 33308
Phone (954) 202-7899

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1437189792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-491-6300",
            "fax_number": "954-351-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-491-6300",
            "fax_number": "954-351-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCOLE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-491-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0034327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC OF FL",
            "identifier": "93725",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062535300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.