MARSAN CLINIC LLC NPI 1679245344

NPI Information

  • NPI: 1679245344
  • Provider Name: MARSAN CLINIC LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 4693 OLD PLEASANT HILL ROAD
    SUITE A
    KISSIMMEE, FL
    ZIP 34759
  • Phone: (407) 933-0305

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NPI Details

MARSAN CLINIC LLC is a general practice in Kissimmee, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MARSAN CLINIC LLC NPI is 1679245344. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4693 OLD PLEASANT HILL ROAD
SUITE A
KISSIMMEE, FL
ZIP 34759
Phone: (407) 933-0305

The provider's authorized official is Minely B Martinez .
The authorized official title is President and has the following contact phone number (407) 933-0305.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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