Provider Demographics
NPI:1194920298
Name:MARRANZINI, NELDES REGINA (MD)
Entity type:Individual
Prefix:DR
First Name:NELDES
Middle Name:REGINA
Last Name:MARRANZINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REGINA
Other - Middle Name:
Other - Last Name:MARRANZINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:425 W COLONIAL DR STE 303
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6863
Mailing Address - Country:US
Mailing Address - Phone:321-332-6947
Mailing Address - Fax:407-286-4515
Practice Address - Street 1:900 S GOLDENROD RD STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8113
Practice Address - Country:US
Practice Address - Phone:407-362-0148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94781207R00000X
FLME 94781207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269224OtherAMERICAN BOARD OF INTERNAL MEDICINE (ABIM)
FL2786648-00Medicaid
FLME 94781OtherMEDICAL LICENSE
FL2786648-00Medicaid
FLAF431UMedicare PIN
FL269224OtherAMERICAN BOARD OF INTERNAL MEDICINE (ABIM)