Gardy D. Marcelin, M.D. PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME76514 Issued in FL

Legal business name

GARDY D. MARCELIN, M.D. PA

Practice address

3717 W Boynton Beach Blvd Ste 5
Boynton Beach, FL 33436-4540

Phone

(561) 734-1212

Fax

(561) 734-1443

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gardy D. Marcelin, M.D.

Title

President

Phone

(561) 734-1212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1790985422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 W BOYNTON BEACH BLVD STE 5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364540",
            "telephone_number": "561-734-1212",
            "fax_number": "561-734-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 W BOYNTON BEACH BLVD STE 5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364540",
            "telephone_number": "561-734-1212",
            "fax_number": "561-734-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDY D. MARCELIN, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "MARCELIN",
        "authorized_official_first_name": "GARDY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-734-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME76514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.