Active NPI
Marvel Medical LLC
- Durable Medical Equipment & Medical Supplies
- Ft Lauderdale, FL
National Provider Identifier
1962081679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MARVEL MEDICAL LLC
- Practice address
- 1500 NW 62ND St Ste 103
Ft Lauderdale, FL 33309-1848 - Phone
- (954) 489-3200
- NPI assigned
- Apr 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anum Athar
- Title
- Owner
- Phone
- (954) 489-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1500 NW 62ND St Ste 103
Ft Lauderdale, FL 33309-1848
Mailing address
1500 NW 62ND St Ste 103
Ft Lauderdale, FL 33309-1848
Phone (954) 489-3200
National Provider Directory
National Provider DirectoryLocations
1500 NW 62nd St
Ste 103
Ft Lauderdale, FL 33309
Phone (954) 489-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1962081679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NW 62ND ST STE 103",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333091848",
"telephone_number": "954-489-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NW 62ND ST STE 103",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333091848",
"telephone_number": "954-489-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARVEL MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "ATHAR",
"authorized_official_first_name": "ANUM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-489-3200"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.