Marsan Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MARSAN CLINIC LLC

Practice address

4693 Old Pleasant Hill Road
Suite a
Kissimmee, FL 34759

Phone

(407) 933-0305

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Minely B Martinez, MD

Title

President

Phone

(407) 933-0305

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1679245344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4693 OLD PLEASANT HILL ROAD",
            "address_2": "SUITE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34759",
            "telephone_number": "407-933-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4693 OLD PLEASANT HILL ROAD",
            "address_2": "SUITE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34759",
            "telephone_number": "407-933-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSAN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MINELY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-933-0305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Marrero
• Veronica Marrero
• Yanelis Marrero
• Zayra Yaenis Marrero I, SLP
• Annette Marrerro
• Marsha Wilson at Home Residential Care
• Yasheema Marshall, B.A., C.P.S.P.
• Gennesi Maria Marte
• Renaliz Carmen Marte I
• Miriam Martes

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.