Ivan Marcano
Massage Therapist in Davie, FL. Individual provider (NPI-1).
NPI number1962023317
StatusActive
Last updated in NPPESApr 27, 2020
Details
- NPI
- 1962023317
- Entity type
- Individual (NPI-1)
- Name
- Ivan Marcano
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2020
- Certification date
- Apr 27, 2020
- Last updated
- Apr 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA79241 | FL | Yes |
Practice location
2240 Sw 70th Ave Ste DDavie, FL 33317-7112
Phone 954-430-8000 · Fax 954-212-0150
Mailing address
5252 Nw 85th Ave Apt 1005Doral, FL 33166-5332
Phone 305-297-9695
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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