MEDICARE: DR. PATRICIA MARGARET MARTINDALE MD

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	207R00000X	Internal Medicine Physician	ME80115	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME80115	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548232929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA MARGARET MARTINDALE MD

Provider Business Mailing Address
First Line	:	8750 NW 36TH ST STE 300
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33178-2499
Country	:	US
Telephone Number	:	305-262-1610
Fax Number	:

Provider Business Practice Location Address
First Line	:	8395 W OAKLAND PARK BLVD STE D
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-7301
Country	:	US
Telephone Number	:	954-749-1102
Fax Number	:	954-749-1105

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	03/26/2018

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