Pourkesali, Martin M
Pourkesali, Martin M is an sole proprietor health care provider with primary practice located at 28 Office Park Drive , Palm Coast FL 32137. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Pourkesali, Martin M can be contacted via phone (386) 246-6289.Contact Information
Primary practice address
28 Office Park Drive
Palm Coast FL 32137
Phone: (386) 246-6289
Fax: (386) 246-6389
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0S8658 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0S8658 | Florida |
Profile Details
NPI number | 1023067196 |
---|---|
LBN Legal business name | Pourkesali, Martin M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2006 |
Last updated | Jan 11th, 2008 - about 17 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.
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