Nicholas a Maruniak MD PA

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

ME0051265 Issued in FL

Legal business name

NICHOLAS A MARUNIAK MD PA

Practice address

1201 S 9TH Street
Leesburg, FL 34748-6845

Phone

(352) 365-1021

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas A Maruniak, M.D.

Title

President

Phone

(352) 365-1021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1457593782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S 9TH STREET",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486845",
            "telephone_number": "352-365-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 9TH STREET",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486845",
            "telephone_number": "352-365-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS A MARUNIAK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "MARUNIAK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-365-1021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": "FL",
            "license": "ME0051265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Pathology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.