Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME62877 | FL |
NPI | 1053342550 |
---|---|
Provider Name | Paul Brenden Tartell |
First Address | Plantation, FL 33324-7809 |
Second Address | Plantation, FL 33324-7809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 18/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005317 | NEIGHBORHOOD HEALTH (01) | FL |
0699458 | GHI (01) | FL |
24526 | VISTA OF SOUTH FLORIDA (01) | FL |
25711 | BLUE CROSS BLUE SHIELD (01) | FL |
3240 | TOTAL HEALTH CHOICE (01) | FL |
377750200 | (05) | FL |
40011790 | RAILROAD MEDICARE (01) | FL |
4118 | DIMENSIONS (01) | FL |
510990 | AETNA (01) | FL |
650799846 | BEECHSTREET (01) | FL |
650799846 | PREFERRED HEALTH NETWORK (01) | FL |
650799846 | SOUTHCARE (01) | FL |
740200 | FIRST HEALTH PPO (01) | FL |
76701105 | CIGNA (01) | FL |
E47975 | (02) | FL |