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NPI 1437587896

NPI 1437587896 : MANUEL MARTORELL M.D.P.A. : PALM BEACH GARDENS, FL

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General NPI Number Information
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    NPI Number           |    1437587896
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    Entity Type          |    Organization 
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    Legal Business Name  |    MANUEL MARTORELL M.D.P.A. 
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Dates
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    Enumeration Date     |    10/23/2013
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    Last Update Date     |    10/23/2013
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Provider Practice Location Address
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    Address Line         |    508 VIA TOLEDO 
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    City                 |    PALM BEACH GARDENS
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    State                |    FL
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    Zip                  |    33418-1728
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    Country              |    US
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    Telephone            |    561-799-0082
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    Fax                  |    561-799-0082
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Provider Business Mailing Address
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    Address Line         |    508 VIA TOLEDO 
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    City                 |    PALM BEACH GARDENS
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    State                |    FL
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    Zip                  |    33418-1728
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    Country              |    US
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    Telephone            |    561-799-0082
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    Fax                  |    561-799-0082
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Authorized Official
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    Title or Position    |    D
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    Name                 |    DR. MANUEL G MARTORELL 
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    Credential           |    M.D.
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    Telephone            |    561-799-0082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    ME78994
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    License Number State |    FL
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