Marie J Gravel Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA3729 Issued in FL

Legal business name

MARIE J GRAVEL INC

Practice address

3850 Oaks Clubhouse Dr
Suite 206
Pompano Beach, FL 33069-3668

Phone

(954) 592-4292

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Marie J Gravel, PA-C

Title

President

Phone

(954) 592-4292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1902089253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 OAKS CLUBHOUSE DR",
            "address_2": "SUITE 206",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693668",
            "telephone_number": "954-592-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 OAKS CLUBHOUSE DR",
            "address_2": "SUITE 206",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693668",
            "telephone_number": "954-592-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE J GRAVEL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "GRAVEL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-592-4292",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marchand
• Kyle Marcou
• Scott Marden
• Margaret J Starr DO PA
• Maric MD LLC
• Mayra Marimon, LCSW
• Jacqueline Marinaro, M.S.
• John D Marino, OD
• Thomas Francis Marino, MD
• Heidi Lynn Markert, PTA , LMT

• Surgical Physician Assistant in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.