Provider Demographics
NPI:1972684157
Name:MARZOUKA-LOSITO, CYNTHIA (DPM)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:MARZOUKA-LOSITO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:MARZOUKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:3659 S MIAMI AVE STE 3008
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4225
Mailing Address - Country:US
Mailing Address - Phone:305-389-3262
Mailing Address - Fax:
Practice Address - Street 1:6802 SW 144TH TER
Practice Address - Street 2:
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33158-1728
Practice Address - Country:US
Practice Address - Phone:305-389-3262
Practice Address - Fax:305-259-2979
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2792213EP1101X, 213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340467600Medicaid
FLE5405YMedicare ID - Type Unspecified