Marcellino, Bertha

Marcellino, Bertha is an sole proprietor health care provider with primary practice located at 3003 S Congress Ave Suite 1C, Palm Springs FL 33461-2169. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Marcellino, Bertha can be contacted via phone (561) 433-3460.

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

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME92093 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME92093 Florida

Profile Details

NPI number 1033144001
LBN Legal business name Marcellino, Bertha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Oct 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033144001 NPPES
Florida MEDICAID 272165100

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