Marline Duclona

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

15-1702 Issued in FL

Practice address

701 NE Eastlake St.
Port Saint Lucie, FL 34983

Phone

(772) 240-8088

Fax

(772) 323-0514

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marline Charite Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1699429142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NE EASTLAKE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831204",
            "telephone_number": "772-240-8088",
            "fax_number": "772-323-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NE EASTLAKE ST.",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-240-8088",
            "fax_number": "772-323-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLONA",
        "first_name": "MARLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "15-1702",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "15-1702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLINE",
            "last_name": "CHARITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Home Health Aide in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.