Provider Demographics
NPI:1295417731
Name:MARLIN MELDONIAN LLC
Entity type:Organization
Organization Name:MARLIN MELDONIAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZZOLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-483-2277
Mailing Address - Street 1:1080 E INDIANTOWN RD STE 103A
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5188
Mailing Address - Country:US
Mailing Address - Phone:561-831-9609
Mailing Address - Fax:
Practice Address - Street 1:1080 E INDIANTOWN RD STE 103A
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5188
Practice Address - Country:US
Practice Address - Phone:561-831-9609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty