Patricia M Martindale MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PATRICIA M MARTINDALE MD PA

Practice address

3001 NW 49TH Ave
Ste 204
Lauderdale Lakes, FL 33313-7266

Phone

(954) 749-1102

Fax

(954) 749-1105

NPI assigned

Jan 28, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia M Martindale, MD

Title

Ceo

Phone

(954) 749-1102

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1962892042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE",
            "address_2": "STE 204",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137266",
            "telephone_number": "954-749-1102",
            "fax_number": "954-749-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE",
            "address_2": "STE 204",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137266",
            "telephone_number": "954-749-1102",
            "fax_number": "954-749-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M MARTINDALE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "MARTINDALE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-749-1102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.