Bertha Marcellino Md Pa

LBN: Bertha Marcellino Md Pa
Bertha Marcellino Md Pa is an health care organization with primary practice located at 3003 S Congress Ave Suite 1C, Palm Springs FL 33461-2169. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bertha Marcellino Md Pa can be contacted via phone (561) 433-3460, or through Marcellino, Bertha L via phone (561) 514-5486.

Contact Information

Primary practice address
3003 S Congress Ave Suite 1C Palm Springs FL 33461-2169
Phone: (561) 433-3460
Fax: (561) 433-3828
Website:
Map and Directions
Authorized official contact:
Name: Marcellino, Bertha L Doctor of Medicine (MD)
Phone: (561) 514-5486

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME92093 Florida

Profile Details

NPI number 1508066879
LBN Legal business name Bertha Marcellino Md Pa
DBA Doing business as
Authorized official Marcellino, Bertha L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2007
Last updated Oct 8th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508066879 NPPES
Florida MEDICAID 2726165101

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