Provider Demographics
NPI:1356580757
Name:REGINA MARRANZINI MD PA
Entity type:Organization
Organization Name:REGINA MARRANZINI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NELDES
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARRANZINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-364-8860
Mailing Address - Street 1:8045 NW 110TH DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4726
Mailing Address - Country:US
Mailing Address - Phone:954-364-8860
Mailing Address - Fax:877-832-2363
Practice Address - Street 1:3700 WASHINGTON ST
Practice Address - Street 2:SUITE 301
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8256
Practice Address - Country:US
Practice Address - Phone:954-364-8860
Practice Address - Fax:877-832-2363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty