Individual provider · Type 1 NPI

Marilyne Etienne, PA-C

Physician Assistant · Orlando, FL

NPI number 1265941710 Active

Practice location

5979 Vineland Rd Ste 101
Orlando, FL 32819-7860

Fax (407) 355-3119

Other practice locations

  • 5555 E Sr 44 Ste 2, Wildwood, FL 34785-8214 · (407) 355-3120

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9110725 (FL)
Surgical Physician Assistant 363AS0400X9110725 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265941710

Marilyne Etienne, PA-C's National Provider Identifier is 1265941710, issued on Sep 28, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Orlando, FL. The record was last updated on Sep 26, 2025.