Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Donofrio

Individual provider Family Nurse Practitioner · NPI 1447098611

Marissa Donofrio is a Nurse Practitioner in Port Orange, Florida. Qualified in 2024, 2 years ago. Practices with Prc Associates LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

6665 Merryvale Ln
Port Orange, FL 32128-4042
Phone: (631) 681-9078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11033638 (FL)

Record details

NPI number1447098611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address6665 Merryvale Ln, Port Orange, FL 32128-4042

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Prc Associates Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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