Active NPI
Marlynn Nunez, MD
- Obstetrics & Gynecology Physician
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME96197
- Practice address
- 4671 S Congress Ave
Suite 100B
Lake Worth, FL 33461-4783 - Phone
- (561) 434-0111
- Fax
- (561) 296-3533
- NPI assigned
- Jun 20, 2005
- Last updated
- Jan 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2004012768 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | ME96197 | FL | Primary |
Addresses
Primary practice location
4671 S Congress Ave
Suite 100B
Lake Worth, FL 33461-4783
Mailing address
4671 S Congress Ave
Suite 100B
Lake Worth, FL 33461-4783
Phone (561) 434-0111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78195 | Other | FL | BCBS |
| 276032100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14766 | PR | MD | Technician/Technologist |
| 2004012768 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Florida Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Royal Palm Medical Care, LLC | Past | Accepting new patients | |
| All Womens Healthcare of West Broward Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Obstetrics & Gynecology Physician
- Plantation, FL
- NPI 1952383127
-
- Primary Care Clinic/Center
- Royal Palm Beach, FL
- NPI 1700736840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1649275249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4671 S CONGRESS AVE",
"address_2": "SUITE 100B",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334614783",
"telephone_number": "561-434-0111",
"fax_number": "561-296-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4671 S CONGRESS AVE",
"address_2": "SUITE 100B",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334614783",
"telephone_number": "561-434-0111",
"fax_number": "561-296-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "MARLYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2004012768",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME96197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "78195",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276032100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.