Provider Demographics
NPI:1720147275
Name:MAR MEDICAL CONSULTANTS, PA
Entity Type:Organization
Organization Name:MAR MEDICAL CONSULTANTS, PA
Other - Org Name:PEDIATRICS BY THE SEA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:F
Authorized Official - Last Name:KUHNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-272-8991
Mailing Address - Street 1:285 SE 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5206
Mailing Address - Country:US
Mailing Address - Phone:561-272-8991
Mailing Address - Fax:561-272-8985
Practice Address - Street 1:285 SE 5TH AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5206
Practice Address - Country:US
Practice Address - Phone:561-272-8991
Practice Address - Fax:561-272-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81672207R00000X
FLME80414208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003487200Medicaid