MEDICARE: HELEN DONATELLI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	ME62701	FL

General Provider Information

NPI Number	:	1528396645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN DONATELLI M.D.

Provider Business Mailing Address
First Line	:	3085 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-4424
Country	:	US
Telephone Number	:	305-466-4440
Fax Number	:	305-935-3376

Provider Business Practice Location Address
First Line	:	3085 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-4424
Country	:	US
Telephone Number	:	305-466-4440
Fax Number	:	305-935-3376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2009
Last Update Date	:	06/08/2016

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