Organization
PHILLIPPE MARTINEAU MD. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIPPE MARTINEAU (OWNER)
(561) 844-6005
Entity
Organization
Contact information
Practice address
2151 45TH ST STE 210, WEST PALM BEACH, FL 33407-2015
(561) 844-6005
(561) 844-0056
Mailing address
2151 45TH ST STE 210, WEST PALM BEACH, FL 33407-2015
(561) 844-6005
(561) 844-0056
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
ME00074365
FL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
ME00074365
FL
293D00000X
Physiological Laboratory
ME00074365
FL
302R00000X
Health Maintenance Organization
ME00074365
FL
310400000X
Assisted Living Facility
Primary
ME00074365
FL
313M00000X
Nursing Facility/Intermediate Care Facility
ME00074365
FL
324500000X
Substance Abuse Rehabilitation Facility
ME00074365
FL
Other
Enumeration date
08/14/2012
Last updated
09/21/2012
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