Healthcare Provider Details

I. General information

NPI: 1578714739
Provider Name (Legal Business Name): MBT CONSULTANTS PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13660 JOG RD SUITE # 6
DELRAY BEACH FL
33446-3806
US

IV. Provider business mailing address

13660 JOG RD SUITE # 6
DELRAY BEACH FL
33446-3806
US

V. Phone/Fax

Practice location:
  • Phone: 561-637-1446
  • Fax: 561-637-1448
Mailing address:
  • Phone: 561-637-1446
  • Fax: 561-637-1448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. MARGARETA BERNARD TINSLEY
Title or Position: OWNER/MANAGER
Credential: PHARMD
Phone: 561-637-1446