MARIAN DAVIS DPM PA (NPI# 1962674903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962674903 |
| Entity Type | Organization |
| Organization Name | MARIAN DAVIS DPM PA |
| Practice Address |
1190 Nw 95th St Suite 108 Miami FL 33150-2063 |
| Practice Telephone | 3058358000 |
| Practice Fax Number | 3058350866 |
| Mailing Telephone | 3058358000 |
| Mailing Fax Number | 3058350866 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2015-12-28 |
| Authorized Official Name | DR. IMAZE MARIAN DAVIS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3054795090 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 3333 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340694600 | 05 | |
| FL | BCBSFL | 65982 | 01 |
| Street Address |
1190 NW 95TH ST SUITE 108 |
| City | MIAMI |
| State | FL |
| Zip Code | 33150-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179278 | Scott Goldberg | Otolaryngology | 1190 Nw 95th St, # 200, Miami, FL 33150-2063 | 2005-07-26 |
| 1902416142 | Xt9 Corp | Internal Medicine | 1190 Nw 95th St, Suite 301, Miami, FL 33150 | 2020-08-03 |
| 1447719984 | Valerie Simon | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2019-03-14 |
| 1114458122 | Heather Nunnelly | Physician Assistant | 1190 Nw 95th St, Suite 101, Miami, FL 33150-2063 | 2017-03-22 |
| 1427406750 | Marc Guerrier | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2016-05-26 |
| 1588020010 | Jean-claude Crevecoeur | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2016-01-13 |
| 1700278322 | Eric Zephirin | Podiatrist | 1190 Nw 95th St, Suite 108, Miami, FL 33150-2063 | 2015-02-19 |
| 1023419991 | Interventional Radiology Specialists of Miami Inc | Radiology | 1190 Nw 95th St, Suite 301, Miami, FL 33150-2063 | 2014-09-10 |
| 1528483476 | Florida Regional Foot and Ankle Specialists Pllc | Assisted Living Facility | 1190 Nw 95th St, Suite 108, Miami, FL 33150-2063 | 2014-03-02 |
| 1033534433 | Luis Mariano Roqueta Sr. | Specialist/Technologist, Other | 1190 Nw 95th St, Ste # 306, Miami, FL 33150-2063 | 2014-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1063866242 | Brian Asencio | Podiatrist | 9035 Sw 72nd St Ste 104, Miami, FL 33173 | 2016-04-14 |
| 1659738227 | Ralph Ramos | Podiatrist | 1330 Coral Way Ste 408, Miami, FL 33145-2945 | 2016-01-27 |
| 1154787364 | Sunshine Podiatry Center,llc | Podiatrist | 13412 Sw 6th St, Miami, FL 33184-1142 | 2016-01-05 |
| 1558750315 | Sweetwater Medical & Spa Services | Podiatrist | 35 Sw 114th Ave Apt 105, Miami, FL 33174-1005 | 2015-01-16 |
| 1619373818 | Zahra Karbasian | Podiatrist | 13500 Sw 88 St, Ste185, Miami, FL 33186-1528 | 2014-11-15 |
| 1073928974 | Hugo Alejandro Fernandez | Podiatrist | 2150 Sw 16th Ave Apt 408, Miami, FL 33145-2866 | 2014-06-30 |
| 1689088189 | Luis A Rodriguez Anaya | Podiatrist | 3659 S Miami Ave Ste 3008, Miami, FL 33133-4225 | 2014-06-12 |
| 1275950511 | Katherine Machado | Podiatrist | 8785 Sw 165th Ave Ste 110, Miami, FL 33193 | 2014-03-25 |
| 1144654625 | Stem Cell Miami | Podiatrist | 6401 Galloway Rd, Suite 109, Miami, FL 33173-2500 | 2013-09-03 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.