Individual provider Active NPI

Marlynn Nunez, MD

  • Obstetrics & Gynecology Physician
  • Lake Worth, FL
National Provider Identifier
1649275249
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME96197 Issued in FL
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
78195OtherFLBCBS
276032100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000739 FL Practitioner - Obstetrics/Gynecology 5991617607 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14766PRMDTechnician/Technologist
2004012768MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Dec 1, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 28, 2016 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 28, 2016 Accepting new patients
Royal Palm Medical Care, LLC PastSince Feb 8, 2026 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.

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

Verify at the official NPI Registry.