Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Marina Boulis Fam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396445904

Marina Boulis Fam is registered under Certified Registered Nurse Anesthetist (CRNA) in Ocala, Florida. Qualified in 2025, 1 year ago. Practices with Sheridan Healthcorp Inc, a 959-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Ocala, FL

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 11039307 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396445904
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2023
Last updated in NPPESApril 19, 2026
Certification dateApril 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sheridan Healthcorp Inc — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Sheridan Healthcorp Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 959 clinicians in the practice; 12 are shown here.

Other providers in Ocala