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Contact Information

MARTIN M POURKESALI, DO
28 OFFICE PARK DRIVE
PALM COAST, FL32137
 Phone: 386-246-6289
 Fax: 386-246-6389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARTIN M POURKESALI · (Male)

NPI # 1023067196
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/08/2006
Last updated 01/11/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 0S8658
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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