Healthcare Provider Details

I. General information

NPI: 1003255043
Provider Name (Legal Business Name): ARLETTA U MARUNOWSKA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2013
Last Update Date: 09/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 JFK DR
ATLANTIS FL
33462-1159
US

IV. Provider business mailing address

305 S BROMELIAD
WEST PALM BEACH FL
33401-7737
US

V. Phone/Fax

Practice location:
  • Phone: 561-439-1500
  • Fax: 561-439-9902
Mailing address:
  • Phone: 561-632-7999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME81427
License Number StateFL

VIII. Authorized Official

Name: DR. ARTLETTA URSZULA MARUNOWSKA
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 561-632-7999