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Individual

DR. MARIO MARKELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 E HALLANDALE BEACH BLVD, SUITE 211, HALLANDALE BEACH, FL 33009-4834
(954) 456-5533
(954) 456-6072
Mailing address
2500 E HALLANDALE BEACH BLVD, SUITE 211, HALLANDALE BEACH, FL 33009-4834
(954) 456-5533
(954) 456-6072

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME30744
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004520509
AETNA PPO
FL
05
036731100
FL
01
0402719
UNITED HEALTHCARE OPEN ACCESS
FL
01
0470249
UNITED HEALTHCARE HMO
FL
01
1036392
AETNA HMO POS
FL
01
2026MERL
NEIGHBORHOOD HEALTH
FL
01
2227668
AETNA HMO POS GRP
FL
01
2499664
CIGNA
FL
01
93406
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/18/2006
Last updated
05/05/2010
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