Adriana Marino, CPNP | |
11325 Lake Underhill Rd Ste 103, Orlando, FL 32825-5090 | |
(407) 398-6702 | |
Not Available |
Full Name | Adriana Marino |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 11325 Lake Underhill Rd Ste 103, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619452562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 11020987 (Florida) | Primary |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
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Adriana Marino, CPNP 5900 S John Young Pkwy, Orlando, FL 32839-3716 Ph: (407) 434-8171 | Adriana Marino, CPNP 11325 Lake Underhill Rd Ste 103, Orlando, FL 32825-5090 Ph: (407) 398-6702 |
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