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General NPI Number Information
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NPI Number | 1477755668
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Entity Type | Individual
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Provider Name | JERRY MARTEL M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 8950 N KENDALL DR STE 306W
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City | MIAMI
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State | FL
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Zip | 33176-2132
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Country | US
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Telephone | 305-596-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 S DADELAND BLVD STE 200
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City | MIAMI
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State | FL
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Zip | 33156-2866
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Country | US
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Telephone | 786-530-3820
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME103922
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License Number State | FL
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