Bertha Marcellino
General Practice Physician Family Doctor - Adult Medicine
3003 S Congress Ave Suite 1c
Palm Springs
, Florida 33461-2169
Bertha Marcellino
General Practice Physician Family Doctor - Adult Medicine
3003 S Congress Ave Suite 1c
Palm Springs
, Florida 33461-2169
(561) 586-5083
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About
Features
Specialties
- Family Doctor - Adult Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Bertha Marcellino
- 2860 S Ocean Blvd Apt 509
- Palm Beach, FL
- Zip : 33480-5562
- Phone : (561) 586-5083
Second Address
- Bertha Marcellino
- 3003 S Congress Ave Suite 1c
- Palm Springs, FL
- Zip : 33461-2169
- Fax : (561) 433-3828
- Phone : (561) 433-3460
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FAQs
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Is Bertha Marcellino a sole practitioner?
Is Bertha Marcellino accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0505X | Family Doctor - Adult Medicine | ME92093 | FL |
| Y | 208D00000X | General Practice Physician | ME92093 | FL |
National Provider Identifier
| NPI | 1033144001 |
|---|---|
| Provider Name | Bertha Marcellino |
| First Address | Palm Beach, FL 33480-5562 |
| Second Address | Palm Springs, FL 33461-2169 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 08/10/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 272165100 | (05) | FL |
| I27126 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.