Individual
MARK BERNARD BARETTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 N CLYDE MORRIS BLVD, STE 310, DAYTONA BEACH, FL 32114
(386) 257-6644
(386) 257-6557
Mailing address
311 N CLYDE MORRIS BLVD, STE 310, DAYTONA BEACH, FL 32114
(386) 257-6644
(386) 257-6557
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
35061123B
OH
207RI0011X
Interventional Cardiology Physician
Primary
ME0061488
FL
Other
Enumeration date
04/06/2006
Last updated
07/13/2007
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