Marvmed LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

MARVMED LLC

Doing business as

Flagler & Volusia Rehab

Practice address

1400 E Moody Blvd
Bunnell, FL 32110-5916

Phone

(386) 237-4003

NPI assigned

Jan 17, 2013

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roy CarlisiNPI 1326081944

Title

Ceo

Phone

(386) 237-4003

Specialties & licenses 2

Addresses

Other names 1

• Flagler & Volusia Rehab Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Carlisi, D.C.

  • Chiropractor
  • Bunnell, FL
  • NPI 1326081944
  Authorized official Same address or phone

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1457699076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E MOODY BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321105916",
            "telephone_number": "386-237-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E MOODY BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321105916",
            "telephone_number": "386-237-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "CARLISI",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-237-4003"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler & Volusia Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Lukasiewicz
• Bishaswar Mahadeo, PHARM. D.
• Susan Ann Marion, M.S., LMT
• Lori Martin, APRN, FNP-BC, RN
• Trina C Martin, M.D.
• Sophia Xiques Mas, L.M.H.C.
• Priscilla Matos
• Debbra Ann McKinney
• Medcare Diabetic Supply LLC
• Medical Risk Solutions (MHO-Flagler County EHC-Bunnell)

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bunnell, FL
• Providers in Bunnell, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.