| Margarita M Vendrell Md Pa | |
|
12276 San Jose Blvd Suite 608 Jacksonville FL 32223-8628 | |
| (904) 446-9250 | |
| (904) 446-9250 |
| Full Name | Margarita M Vendrell Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12276 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Margarita Mercedes Vendrell (PRES) |
| Authorized Official Contact | 9044469205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Margarita M Vendrell Md Pa 12276 San Jose Blvd Suite 608 Jacksonville FL 32223-8628 Ph: (904) 446-9205 | Margarita M Vendrell Md Pa 12276 San Jose Blvd Suite 608 Jacksonville FL 32223-8628 Ph: (904) 446-9250 |
| NPI Number | 1740460138 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 04/25/2012 |
| Medicare PECOS PAC ID | 0840377362 |
|---|---|
| Medicare Enrollment ID | O20080408000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740460138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME 71818 (Florida) | Primary |
| Provider Name | Margarita M Vendrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851317580 PECOS PAC ID: 0345323226 Enrollment ID: I20080215000273 |
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