| Dr. Martin's Wellness Center | |
|
7710 Nw 71st Ct Ste 303 Tamarac FL 33321-2932 | |
| (954) 960-5763 | |
| (954) 586-4178 |
| Full Name | Dr. Martin's Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7710 Nw 71st Ct Ste 303, Tamarac, Florida |
| Authorized Official Name and Position | Real Martin (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 9545925718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Martin's Wellness Center 7710 Nw 71st Ct Ste 303 Tamarac FL 33321-2932 Ph: (954) 960-5763 | Dr. Martin's Wellness Center 7710 Nw 71st Ct Ste 303 Tamarac FL 33321-2932 Ph: (954) 960-5763 |
| NPI Number | 1114644002 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 9335502517 |
|---|---|
| Medicare Enrollment ID | O20230906001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114644002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Re'al Martin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538143094 PECOS PAC ID: 0244415164 Enrollment ID: I20110419000619 |
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