Organization
ARELIS M. MADERA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARELIS M MADERA MD (PRESIDENT)
(941) 235-0542
Entity
Organization
Contact information
Practice address
3611 TAMIAMI TRL, SUITE B, PORT CHARLOTTE, FL 33952-5528
(941) 235-0542
(941) 235-0545
Mailing address
3611 TAMIAMI TRL, SUITE B, PORT CHARLOTTE, FL 33952-5528
(941) 235-0542
(941) 235-0545
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME74893
FL
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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