Fidelia, Martin Antony
Fidelia, Martin Antony is an individual health care provider with primary practice located at 1421 Malabar Rd Ne Physicians Office Bldg #200, Palm Bay FL 32907-2576. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fidelia, Martin Antony can be contacted via phone (321) 308-2660.Contact Information
Primary practice address
1421 Malabar Rd Ne Physicians Office Bldg #200
Palm Bay FL 32907-2576
Phone: (321) 308-2660
Fax: (321) 984-9303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9105354 | Florida |
Profile Details
| NPI number | 1427370469 |
|---|---|
| LBN Legal business name | Fidelia, Martin Antony |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2010 |
| Last updated | Jul 6th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427370469 | NPPES |
| Florida | Other | PA9105354 | MEDICAL LICENSE NUMBER |
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