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General NPI Number Information
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NPI Number | 1417168220
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Entity Type | Organization
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Legal Business Name | EDGAR A MARTORELL MD LLC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 6735 CONROY WINDERMERE RD STE 320
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City | ORLANDO
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State | FL
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Zip | 32835-3283
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Country | US
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Telephone | 407-313-0044
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Fax | 407-313-0810
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Provider Business Mailing Address
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Address Line | 6735 CONROY WINDERMERE RD STE320
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City | ORLANDO
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State | FL
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Zip | 32835-6879
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Country | US
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Telephone | 407-313-0044
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Fax | 407-313-0810
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Authorized Official
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Title or Position | OWNER
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Name | EDGAR A MARTORELL
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Credential | M.D.
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Telephone | 407-313-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME85698
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License Number State | FL
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