Individual
MERTALAINE MULATRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5140
(317) 705-5047
Mailing address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5140
(317) 705-5047
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A172622
CA
2085R0202X
Diagnostic Radiology Physician
57718
KY
2085R0202X
Diagnostic Radiology Physician
Primary
ME129101
FL
Other
Enumeration date
07/08/2014
Last updated
05/01/2023
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