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Marimina LLC — NPI 1932602372, Port Orange, FL | NPI Central

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NPI 1932602372

OrganizationActive

Marimina LLC

NPI 1932602372 · Community/Retail Pharmacy · Port Orange, FL

Provider details

NPI number: 1932602372
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Dimetry Ghabras, Pharmacy Manager(386) 212-0591

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers

Practice location

5820 S Williamson Blvd Ste 2

Port Orange, FL 32128-6401

Phone: (386) 212-0591

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

5820 S Williamson Blvd Ste 2

Port Orange, FL 32128-6401

Other names (DBA / former)

Doing business as: Port Orange Pharmacy

Registry dates

Enumerated: 2018-03-12
Last updated: 2025-08-14
Certified: 2025-08-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.