Provider Demographics
NPI:1043501992
Name:MARVIN E. WERLINSKY, D.O., P.A.
Entity Type:Organization
Organization Name:MARVIN E. WERLINSKY, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:ELLIS
Authorized Official - Last Name:WERLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-845-8000
Mailing Address - Street 1:1146 BLUE HERON BLVD E
Mailing Address - Street 2:
Mailing Address - City:SINGER ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33404-4738
Mailing Address - Country:US
Mailing Address - Phone:561-845-8000
Mailing Address - Fax:561-845-0572
Practice Address - Street 1:1146 BLUE HERON BLVD E
Practice Address - Street 2:
Practice Address - City:SINGER ISLAND
Practice Address - State:FL
Practice Address - Zip Code:33404-4738
Practice Address - Country:US
Practice Address - Phone:561-845-8000
Practice Address - Fax:561-845-0572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS3632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE32152Medicare UPIN
82111AMedicare PIN