| Arturo Rodriguez-martin Md Pl | |
|
22099 Elmira Blvd Port Charlotte FL 33952-7018 | |
| (941) 613-1356 | |
| (941) 613-1591 |
| Full Name | Arturo Rodriguez-martin Md Pl |
|---|---|
| Speciality | Family Medicine |
| Location | 22099 Elmira Blvd, Port Charlotte, Florida |
| Authorized Official Name and Position | Arturo Rodriguez-martin (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9416131356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arturo Rodriguez-martin Md Pl Po Box 496016 Port Charlotte FL 33949-6016 Ph: (941) 625-1275 | Arturo Rodriguez-martin Md Pl 22099 Elmira Blvd Port Charlotte FL 33952-7018 Ph: (941) 613-1356 |
| NPI Number | 1962445767 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 11/24/2015 |
| Medicare PECOS PAC ID | 0941277198 |
|---|---|
| Medicare Enrollment ID | O20040916000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962445767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME79916 (Florida) | Primary |
| Provider Name | Arturo Rodriguez Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184605495 PECOS PAC ID: 2961478813 Enrollment ID: I20040902000780 |
| Provider Name | Jacqueline Marie Noble Deschenes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497868087 PECOS PAC ID: 5799749800 Enrollment ID: I20041118000267 |
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