Individual
PAUL BRENDEN TARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NW 82ND AVE, SUITE 104, PLANTATION, FL 33324-7809
(954) 236-0200
(954) 474-3405
Mailing address
100 NW 82ND AVE, SUITE# 104, PLANTATION, FL 33324-7809
(954) 236-0200
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME62877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005317
NEIGHBORHOOD HEALTH
FL
01
—
0699458
GHI
FL
01
—
24526
VISTA OF SOUTH FLORIDA
FL
01
—
25711
BLUE CROSS BLUE SHIELD
FL
01
—
3240
TOTAL HEALTH CHOICE
FL
05
—
377750200
—
FL
01
—
40011790
RAILROAD MEDICARE
FL
01
—
4118
DIMENSIONS
FL
01
—
510990
AETNA
FL
01
—
650799846
BEECHSTREET
FL
01
—
740200
FIRST HEALTH PPO
FL
01
—
76701105
CIGNA
FL
Enumeration date
07/05/2006
Last updated
04/18/2013
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