EDGAR A MARTORELL MD LLC
Osteopathic Medicine in Davenport, FL

License number
Florida ME85698
Category
Osteopathic Medicine
Type
Rheumatology
Owner
Name: EDGAR A MARTORELL M.D.
Title: OWNER
Phone: (863) 588-4179
Address
Address
40124 Suite #206, Davenport, FL 33837
National Provider ID: 1417168220
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Edgar A Martorell, MD, LLC

Orlando, FL  -  Davenport, FL

Industry:
Medical Doctor's Office
Inactive reason:
LC NAME CHANGE
Registration:
Apr 24, 2007
Inactive since:
May 21, 2007
Phone:
(863) 422-4545 (Phone), (863) 679-8000 (Alt)
Addresses:
6735 Conroy Windermere Rd, Orlando, FL 32835
41124 Us Hwy 27, Davenport, FL 33837
40124 Hwy 27, Davenport, FL 33837
State ID:
L07000043660
Business type:
Florida Limited Liability Company
Managers:
Edgar A. Martorell (Manager),Yarisa M. Bonet-Morales Manager, inactive
Agent:
Edgar Martorell,6735 Conroy Windermere Rd SUITE 323, Orlando, FL 32835 (Physical)
EIN:
20-8900738

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