Marisol E Arcila, M.D.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

ME98859 Issued in FL

Practice address

1325 San Marco Blvd Ste 4a
Jacksonville, FL 32207-8568

Phone

(904) 306-9860

Fax

(904) 360-9864

NPI assigned

Jun 15, 2007

Last updated

May 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Coastal Healthcare Partners, LLC

  • General Practice Physician
  • Palm Coast, FL
  • NPI 1053762740
  Medicare reassignment NPD
• Fakhoury Medical & Chiropractic Center PLLC

  • Chiropractor
  • Ocala, FL
  • NPI 1144458480
  Medicare reassignment NPD
• Modern Health Chiropractic L.L.C

  dba Modern Health Chiropractic

  • Chiropractor
  • Orange City, FL
  • NPI 1861765646
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1972708584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57970",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322417970",
            "telephone_number": "904-737-1838",
            "fax_number": "904-737-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD STE 4A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078568",
            "telephone_number": "904-306-9860",
            "fax_number": "904-360-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCILA",
        "first_name": "MARISOL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME98859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278685100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Archacki-Resnik, ARNP-FPMHNP-BC
• Emily Anne Archer, APRN
• Joshua Gerald Archer, MD
• Maryam Archer, MSW
• Zelia Yanique Archibald, M.D.
• Andres Augustus Arciniegas, MD, MSHA, MSHI
• Arclight Health, P.a.
• Sirlys Arcon Rios, MD
• Courtney Arcuri Jordan
• Avraam Andrei Ardelean, CAA

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.