Marino Amaury Chanlatte-Ithier, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME117097 Issued in FL

Practice address

483 N Semoran Blvd
Ste #103
Winter Park, FL 32792-3800

Phone

(407) 680-2273

Fax

(321) 274-0224

NPI assigned

Apr 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1831489772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "STE #103",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-680-2273",
            "fax_number": "321-274-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "STE #103",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-680-2273",
            "fax_number": "321-274-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANLATTE-ITHIER",
        "first_name": "MARINO",
        "middle_name": "AMAURY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "12726",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME117097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009431000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Chance, DC
• Arianne N Chand
• Bhawna Chandra
• Jennifer Chang, M.D.
• Change in Motion
• Bianca Jene Channer, MD
• Tracy Chapman
• Chappell Counseling Group LLC
• Derick Chappell, LMHC
• Renee Danielle Chappell, COTA/L

• Emergency Medicine Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.