Ronald Martin Mall in Largo - General Practice
Ronald Martin Mall - NPI 1083648703
Ronald Martin Mall is a General Practice in Largo, Florida. Ronald Martin Mall practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ronald Martin Mall is 1083648703. The last update date is 2011-12-27.
Ronald Martin Mall's current location address is 3800 East Bay Drive, Largo, Florida. You can contact this provider via phone number 7275390505 and fax number 7273941804. The mailing address for Ronald Martin Mall is 3800 East Bay Drive, Largo, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Martin Mall |
|---|---|
| Address | 3800 East Bay Drive, Largo, Florida |
| Phone Number | 7275390505 |
| Fax Number | 7273941804 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1083648703 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2011-12-27 |
Provider Mailing Address Detail
| Address | 3800 East Bay Drive |
|---|---|
| City | Largo |
| State | Florida (FL) |
| Post Code | 33771 |
| Phone Number | 7275390505 |
| Fax Number | 7273941804 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | OS0003675 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2337655 | AETNA | ||
| 267070 | AVMED |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ronald Martin Mall by the Centers for Medicare & Medicaid Services?
The Ronald Martin Mall has been issued the NPI (National Provider Identifier) 1083648703 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Ronald Martin Mall's physical address?
The Ronald Martin Mall is physically located at 3800 East Bay Drive, in the city of Largo, FL, with the postal code 33771.
What is Ronald Martin Mall's area of expertise and its corresponding taxonomy classification?
The Ronald Martin Mall's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Ronald Martin Mall receive its 1083648703 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Martin Mall was assigned its 1083648703 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the details pertaining to Ronald Martin Mall last refreshed?
The information related to the Ronald Martin Mall, including its address, specialty, and other relevant details, was last updated on 2011-12-27.
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