Organization Name: | MARIANA MARTINASEVIC MD PA |
NPI Number: | 1336160514 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIANA MARTINASEVIC (CEO) |
Mailing Address: | 6245 N Federal Hwy Suite 201 Ft Lauderdale |
State: | FL US |
Postal Code: | 333081998 |
Phone Number: | 9544914455 |
Fax Number: | 9544914553 |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 03/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME87810 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |