Addison Mizner Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADDISON MIZNER MEDICAL LLC

Practice address

233 S Federal Hwy
Suite 103
Boca Raton, FL 33432-4937

Phone

(561) 347-2996

Fax

(561) 347-8998

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Marques, D.O.

Title

Physician

Phone

(561) 347-2996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Marques

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1811957749
  Medicare reassignment NPD
• Sandra Riveros

  • Medical Physician Assistant
  • Boca Raton, FL
  • NPI 1215365309
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1902090202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S FEDERAL HWY",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324937",
            "telephone_number": "561-347-2996",
            "fax_number": "561-347-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S FEDERAL HWY",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324937",
            "telephone_number": "561-347-2996",
            "fax_number": "561-347-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON MIZNER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "MARQUES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-347-2996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Adames, R.N., BSN, IBCLC
• Ciro Anthony Adamo, MD
• Christine Adams, DMD
• Michael A. Adamse, PH.D.
• Adb MD PLLC
• Mark Alan Adduci, DC
• Theresa Adeimy-Febles, PT
• Avraham Elimelech Adelman, BS
• Kimberly Adelman
• Mark Adelman, MD

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.