<Unavail>

LBN: Marine Park Llc
<Unavail> is an health care organization with primary practice located at 3514 Broadway , Riviera Beach FL 33404-2332. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Marine Park Llc can be contacted via phone (561) 782-7575, or through Rodriguez, Diana Vanessa via phone (954) 552-2242.

Contact Information

Primary practice address
3514 Broadway Riviera Beach FL 33404-2332
Phone: (561) 782-7575
Fax: (855) 230-7564
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Diana Vanessa
Phone: (954) 552-2242

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH31059 Florida

Profile Details

NPI number 1558876094
LBN Legal business name Marine Park Llc
DBA Doing business as <Unavail>
Authorized official Rodriguez, Diana Vanessa
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2017
Last updated Jan 15th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558876094 NPPES
Florida MEDICAID 100328900
Florida Other 2177735

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