Active NPI
Mlacson Rnfa Services Inc.
- Family Nurse Practitioner
- Palm Coast, FL
National Provider Identifier
1619210861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9270072
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9270072 | FL | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 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 DirectoryNPI 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.