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Organization
MARTIN PRIMARY CARE LLC
Active
Organization
MARTIN PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD FADEL M.D. (PHYSICIAN)
(772) 287-9143
Entity
Organization
Contact information
Practice address
3257 SE SALERNO RD, STUART, FL 34997
(772) 287-9143
Mailing address
PO BOX 592, JUPITER, FL 33468
(772) 287-9143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME85669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000578800
—
FL
Enumeration date
09/11/2008
Last updated
11/08/2010
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