Active NPI
Carolina Roxana Marquez, DPM
- Podiatrist
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO4579
- Practice address
- 3070 Loopdale LN
Kissimmee, FL 34741-7659 - Phone
- (407) 530-3448
- Fax
- (321) 296-6961
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PO4579 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4579 | FL | |
| Foot Surgery Podiatrist | 213ES0131X | PO4579 | FL | |
| Podiatrist | 213E00000X | PO4579 | FL | Primary |
Addresses
Primary practice location
3070 Loopdale LN
Kissimmee, FL 34741-7659
Mailing address
15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773
Phone (813) 400-1140
Other practice location 1
1508 Village Oak Ln
Kissimmee, FL 34746-6558
Phone (407) 518-7747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VZ3JB | Other | FL | BCBS FL BLUE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3070 Loopdale LN
Kissimmee, FL 34741-7659
Phone (407) 530-3448
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 101 |
| Removal or shaving of skin growth | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4579 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Podiatry Group Inc | Podiatrist | Current | Accepting new patients |
| Anne McNamara DPM PL | Podiatrist | Past | Accepting new patients |
Locations
540 Medical Oaks Ave
Ste 101
Brandon, FL 33511
Phone (813) 681-3558
1530 Celebration Blvd
Ste 402
Celebration, FL 34747
Phone (407) 557-3018
3070 Loopdale Ln
Kissimmee, FL 34741
Phone (407) 530-3448
1508 Village Oak Ln
Kissimmee, FL 34746
Phone (407) 518-7747
10016 Wellness Way
Ste 130
Orlando, FL 32832
Phone (407) 650-0248
15815 Shaddock Dr
Ste 130
Winter Garden, FL 34787
Phone (407) 605-2321
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Winter Garden, FL
- NPI 1437207933
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1982758280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1992381412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15815 SHADDOCK DR STE 130",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875773",
"telephone_number": "813-400-1140",
"fax_number": "813-701-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 LOOPDALE LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417659",
"telephone_number": "407-530-3448",
"fax_number": "321-296-6961"
}
],
"practiceLocations": [
{
"address_1": "1508 Village Oak Ln",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347466558",
"country_code": "US",
"telephone_number": "407-518-7747",
"fax_number": "877-810-6064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARQUEZ",
"first_name": "CAROLINA",
"middle_name": "ROXANA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "FL",
"license": "PO4579",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4579",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "FL",
"license": "PO4579",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO4579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL BLUE",
"identifier": "VZ3JB",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.
- 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.