Individual provider Active NPI

Cynthia Marzouka-Losito, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Village of Palmetto Bay, FL
National Provider Identifier
1972684157
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO2792 Issued in FL
Practice address
6802 SW 144TH Ter
Village of Palmetto Bay, FL 33158-1728
Phone
(305) 389-3262
Fax
(305) 259-2979
NPI assigned
Oct 17, 2006
Last updated
Jul 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO2792 FL Primary
Sports Medicine Podiatrist 213ES0000X PO2792 FL

Addresses

Primary practice location

6802 SW 144TH Ter
Village of Palmetto Bay, FL 33158-1728

Mailing address

3659 S Miami Ave Ste 3008
Miami, FL 33133-4225
Phone (305) 389-3262

Other identifiers 1

IdentifierTypeStateIssuer
340467600MedicaidFL

Other names 1

  • Dr. Cynthia Marzouka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000304 FL Practitioner - Podiatry 4385625219 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barry University Inc CurrentSince Oct 14, 2014 Accepting new patients
Barry University Inc CurrentSince Oct 14, 2014 Accepting new patients
Medical Services Corp of Florida CurrentSince Apr 15, 2022 Accepting new patients
Pedirite Medical FL LLC CurrentSince Dec 1, 2021 Accepting new patients
Dpmherrinprfl LLC Past Accepting new patients
Pro-Tech Sports Medicine Inc Primary Podiatric Medicine Past Accepting new patients
Advanced Footcare Inc Sports Medicine PastSince Jul 7, 2017 Accepting new patients

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

60 N US Highway 17 92
Debary, FL 32713
Phone (386) 668-4426

2310 N Airport Rd
Fort Myers, FL 33907
Phone (239) 931-8401

8495 Normandy Blvd
Jacksonville, FL 32221
Phone (570) 352-3063

3659 S Miami Ave
Ste 3008
Miami, FL 33133
Phone (305) 859-7777

11300 NE 2nd Ave
Miami Shores, FL 33161
Phone (305) 899-3000

800 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-1550

1556 Maguire Rd
Ocoee, FL 34761
Phone (407) 877-2272

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1972684157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE STE 3008",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334225",
            "telephone_number": "305-389-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 SW 144TH TER",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581728",
            "telephone_number": "305-389-3262",
            "fax_number": "305-259-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZOUKA-LOSITO",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO2792",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO2792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340467600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MARZOUKA",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.