Individual
MR. CHARLES VIRGIL MARTIGNONI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 GALT OCEAN DR, PH2, FT LAUDERDALE, FL 33308-7044
(954) 294-4554
Mailing address
3410 GALT OCEAN DR, FT LAUDERDALE, FL 33308-7044
(954) 294-4554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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