Provider Demographics
NPI:1316558539
Name:REMART MEDICAL CONSULTANT INCORPORATION
Entity Type:Organization
Organization Name:REMART MEDICAL CONSULTANT INCORPORATION
Other - Org Name:REMART MEDICAL SERVICES AND TRAINING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP-C, FNP-C
Authorized Official - Phone:954-804-6607
Mailing Address - Street 1:1894 SW 156TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4321
Mailing Address - Country:US
Mailing Address - Phone:954-839-6937
Mailing Address - Fax:954-922-3301
Practice Address - Street 1:2750 N. UNIVERSITY DR.
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33024-2546
Practice Address - Country:US
Practice Address - Phone:954-804-6607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty