Provider Demographics
NPI:1477755668
Name:MARTEL, JERRY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:
Last Name:MARTEL
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 SW 117TH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4824
Mailing Address - Country:US
Mailing Address - Phone:305-274-5500
Mailing Address - Fax:305-274-5512
Practice Address - Street 1:8200 SW 117TH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4824
Practice Address - Country:US
Practice Address - Phone:305-274-5500
Practice Address - Fax:305-274-5512
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME103922207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology