| Richard N Maravel MD PA | |
|
3633 Little Rd Suite 101 Trinity FL 34655-1815 | |
| (727) 375-7455 | |
| Not Available |
| Full Name | Richard N Maravel MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 3633 Little Rd, Trinity, Florida |
| Authorized Official Name and Position | Richard Maravel (PRESIDENT) |
| Authorized Official Contact | 7273757455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard N Maravel MD PA 3633 Little Rd Suite 101 Trinity FL 34655-1815 Ph: (727) 375-7455 | Richard N Maravel MD PA 3633 Little Rd Suite 101 Trinity FL 34655-1815 Ph: (727) 375-7455 |
| NPI Number | 1952543704 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 03/25/2009 |
| Medicare PECOS PAC ID | 3274681358 |
|---|---|
| Medicare Enrollment ID | O20090429000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952543704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Richard N Maravel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134113624 PECOS PAC ID: 1557381563 Enrollment ID: I20051205000709 |
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