Organization
PAUL B TARTELL, MD, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B TARTELL M.D. (PRESIDENT)
(954) 236-0200
Entity
Organization
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
(954) 474-3405
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
ME62877
FL
207YX0602X
Otolaryngic Allergy Physician
Primary
ME62877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FE603A
MEDICARE IDENTIFICATION NUMBER
FL
Enumeration date
04/18/2011
Last updated
05/02/2013
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