Organization Active NPI

Mlacson Rnfa Services Inc.

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1619210861
Registry record updated Mar 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9270072 Issued in FL
Legal business name
MLACSON RNFA SERVICES INC.
Practice address
38 Roller LN
Palm Coast, FL 32164-8939
Phone
(386) 503-9731
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2015

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

Authorized official

Name
Ms. Marilene Gopez Lacson, ARNP
Title
Owner/Adminsitrator
Phone
(386) 503-9731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X ARNP 9270072 FL Primary
Obstetrics & Gynecology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LX0001X ARNP 9270072 FL

Addresses

Primary practice location

38 Roller LN
Palm Coast, FL 32164-8939

Mailing address

PO Box 350031
Palm Coast, FL 32135-0031
Phone (386) 503-9731

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426291200000",
    "number": "1619210861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350031",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321350031",
            "telephone_number": "386-503-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ROLLER LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648939",
            "telephone_number": "386-503-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLACSON RNFA SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2015-03-14",
        "status": "A",
        "authorized_official_last_name": "LACSON",
        "authorized_official_first_name": "MARILENE",
        "authorized_official_middle_name": "GOPEZ",
        "authorized_official_title_or_position": "OWNER/ADMINSITRATOR",
        "authorized_official_telephone_number": "386-503-9731",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9270072",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP 9270072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.