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NPI Code Detail

MEDICARE: IRA MARTIN FINE MD

MEDICARE:   IRA MARTIN FINE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME0048473FL
2207RA0401XAddiction Medicine (Internal Medicine) PhysicianME48473FL

General Provider Information

NPI Number : 1235166851
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRA MARTIN FINE MD
Provider Business Mailing Address
First Line : 10075 JOG ROAD
Second Line : SUITE 202
City : BOYNTON BEACH
State : FL
Zip : 33437
Country : US
Telephone Number : 561-375-8800
Fax Number : 561-375-9497
Provider Business Practice Location Address
First Line : 10075 JOG RD
Second Line : SUITE 202
City : BOYNTON BEACH
State : FL
Zip : 33437-3535
Country : US
Telephone Number : 561-375-8800
Fax Number : 561-375-9497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 04/23/2015

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Directions to “ IRA MARTIN FINE MD” Practice Location

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