| Martin Primary Care LLC | |
|
3257 Se Salerno Rd Stuart FL 34997-6736 | |
| (772) 287-9144 | |
| Not Available |
| Full Name | Martin Primary Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3257 Se Salerno Rd, Stuart, Florida |
| Authorized Official Name and Position | Ahmad Fadel (MEMBER) |
| Authorized Official Contact | 7722879143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Primary Care LLC 3257 Se Salerno Rd Stuart FL 34997-6736 Ph: (772) 287-9144 | Martin Primary Care LLC 3257 Se Salerno Rd Stuart FL 34997-6736 Ph: (772) 287-9144 |
| NPI Number | 1700036951 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 01/13/2009 |
| Medicare PECOS PAC ID | 0345309134 |
|---|---|
| Medicare Enrollment ID | O20081107000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700036951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 85669 (Florida) | Primary |
| Provider Name | Ahmad Fadel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285640169 PECOS PAC ID: 5294825022 Enrollment ID: I20071218000088 |
| Provider Name | Pamela Beth Henry-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053863894 PECOS PAC ID: 2062799737 Enrollment ID: I20170505001036 |
| Provider Name | Sandra Velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710401104 PECOS PAC ID: 9830455237 Enrollment ID: I20171116002665 |
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