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

Marivian Pantino Marquez

Individual provider Physical Therapist · NPI 1679828685

Marivian Pantino Marquez is a Physical Therapist in Orange Park, Florida. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1564 Kingsley Ave Ste 200
Orange Park, FL 32073-4521
Phone: (904) 644-8911
Fax: (904) 644-7120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT30891 (FL)
Physical Therapist Taxonomy 225100000X · Licence 0347431 (NY)

Record details

NPI number1679828685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 16, 2012
Last updated in NPPESOctober 30, 2019

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