Mr. Martin M Pourkesali
Surgeon Ophthalmologist
28 Office Park Drive
Palm Coast
, Florida 32137
Mr. Martin M Pourkesali
Surgeon Ophthalmologist
28 Office Park Drive
Palm Coast
, Florida 32137
(386) 246-6389
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About
Features
Specialties
- Ophthalmologist
- Surgeon
Languages spoken
- English
Location
First Address
- Mr. Martin M Pourkesali
- 28 Office Park Drive
- Palm Coast, FL
- Zip : 32137
- Fax : (386) 246-6389
- Phone : (386) 246-6289
Second Address
- Mr. Martin M Pourkesali
- 28 Office Park Drive
- Palm Coast, FL
- Zip : 32137
- Fax : (386) 246-6389
- Phone : (386) 246-6289
Reviews
FAQs
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Is Mr. Martin M Pourkesali a sole practitioner?
Is Mr. Martin M Pourkesali accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 0S8658 | FL |
| N | 208200000X | Surgeon | 0S8658 | FL |
| N | 208600000X | Surgeon | 0S8658 | FL |
National Provider Identifier
| NPI | 1023067196 |
|---|---|
| Provider Name | Mr. Martin M Pourkesali |
| First Address | Palm Coast, FL 32137 |
| Second Address | Palm Coast, FL 32137 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2006 |
| Last Update Date | 11/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H24669 | (02) |
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.