Marair International Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME99642 Issued in FL

Legal business name

MARAIR INTERNATIONAL INC

Practice address

4507 Furling LN
Suite 110
Destin, FL 32541-5328

Phone

(850) 654-0054

Fax

(850) 654-0093

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mara J Fiorentino, M.D.NPI 1255444782

Title

President

Phone

(850) 654-0054

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mara Jose Fiorentino, MD

  • Psychiatry Physician
  • Destin, FL
  • NPI 1255444782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1477737732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 INDIGO LOOP",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325505226",
            "telephone_number": "850-654-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 FURLING LN",
            "address_2": "SUITE 110",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415328",
            "telephone_number": "850-654-0054",
            "fax_number": "850-654-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAIR INTERNATIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "FIORENTINO",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-654-0054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME99642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279326100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Destin, FL
• Providers in Destin, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.