Individual
RONI K MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2424 MANATEE AVE W STE 100, BRADENTON, FL 34205-4954
(941) 847-7920
(941) 757-2291
Mailing address
2424 MANATEE AVE W STE 100, BRADENTON, FL 34205-4954
(941) 847-7920
(941) 757-2291
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001771100
—
FL
01
—
Y01TA
BCBS
FL
Enumeration date
10/28/2005
Last updated
10/22/2025
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