Individual
MARIO R REALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4900 BAYOU BLVD, SUITE 205, PENSACOLA, FL 32503-2525
(850) 476-2387
(850) 476-9707
Mailing address
6731 AVENIDA DE GALVEZ, NAVARRE, FL 32566-8919
(850) 936-4216
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME 80770
FL
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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