OrganizationActive
Marine Medical Consultants,llc
NPI 1831631043 · Multi-Specialty Clinic/Center · Mandeville, LA
Provider details
- NPI number
- 1831631043
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Ennis, Owner(985) 200-3530
- License
- 201758 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
675 North Causeway Blvd
Mandeville, LA 70448-4600
Phone: (985) 200-3530
Street-level locationGet directions
Mailing address
675 N Causeway Blvd
Mandeville, LA 70448-4600
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.