KIMBERLY MARINO-MICHEEL DOM,LAC,AP,DIPL,RN
NPI 1124989686
Integrative Medicine in Englewood, FL

Active since November 22, 2025
630 N INDIANA AVE, ENGLEWOOD, FL 34223(941) 812-0777 Get Directions Write a Review

NPPES record last updated: November 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Marino-micheel Dom,lac,ap,dipl,rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MARINO-MICHEEL DOM,LAC,AP,DIPL,RN (NPI 1124989686) is an individual integrative medicine provider in Englewood, Florida, licensed in Florida (L.AC4693) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1124989686
Entity TypeIndividualFemale
Primary Taxonomy202D00000X
Provider Legal NameKIMBERLY MARINO-MICHEELCredential: DOM,LAC,AP,DIPL,RN
Location Address630 N INDIANA AVEEnglewood, FL 34223-2728
Mailing Address1970 Forked Creek DrEnglewood, FL 34223-1710 · (941) 812-0777
Sole ProprietorYes
Enumeration DateNovember 22, 2025
NPPES CertifiedNovember 22, 2025
NPI 1124989686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code202D00000X
License Licensed in FL · L.AC4693
Definition
A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.
630 N INDIANA AVE, Englewood, FL 34223

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
630 N INDIANA AVE
ENGLEWOOD, FL 34223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Marino-micheel's NPI number?

The NPI number for Kimberly Marino-micheel is 1124989686. It was assigned to this individual provider in the NPPES registry on November 22, 2025.

Where is Kimberly Marino-micheel located?

Kimberly Marino-micheel practices at 630 N Indiana Ave, Englewood, FL 34223. The listed phone number is (941) 812-0777.

What is Kimberly Marino-micheel's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Marino-micheel was last updated on November 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.