Organization Active NPI

Marvel Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Ft Lauderdale, FL
National Provider Identifier
1962081679
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Apr 8, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.