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NPI Code Detail

MEDICARE: ANTHONY MARTELL MD

MEDICARE:   ANTHONY  MARTELL  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
1208000000XPediatrics PhysicianME75344FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982686275
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY MARTELL MD
Provider Business Mailing Address
First Line : 9750 NW 33RD ST
Second Line : SUITE 101
City : CORAL SPRINGS
State : FL
Zip : 33065-4042
Country : US
Telephone Number : 954-449-1339
Fax Number : 954-755-5025
Provider Business Practice Location Address
First Line : 9750 NW 33RD ST
Second Line : 101
City : CORAL SPRINGS
State : FL
Zip : 33065-4042
Country : US
Telephone Number : 954-752-9220
Fax Number : 954-752-1549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 11/03/2011

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Directions to “ ANTHONY MARTELL MD” Practice Location

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