Pourkesali, Martin M

Pourkesali, Martin M is an sole proprietor health care provider with primary practice located at 28 Office Park Drive , Palm Coast FL 32137. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Pourkesali, Martin M can be contacted via phone (386) 246-6289.

Contact Information

Primary practice address
28 Office Park Drive Palm Coast FL 32137
Phone: (386) 246-6289
Fax: (386) 246-6389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0S8658 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 0S8658 Florida

Profile Details

NPI number 1023067196
LBN Legal business name Pourkesali, Martin M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Jan 11th, 2008 - about 18 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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