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Dr. Mario Theliard, MD
General Practice Physician in West Palm Beach, Florida
NPI 1669804720

Mario Theliard is a General Practice Physician based in West Palm Beach, FL. Mario Theliard practices in West Palm Beach, FL and has the professional credentials of MD. The NPI Number for Mario Theliard is 1669804720 and holds a License No. 020982 (Florida).

The current practice location address for Mario Theliard is 2330 S Congress Ave, West Palm Beach, FL and can be reached out via phone at 561-432-5849.

Location: 2330 S Congress Ave, West Palm Beach, FL, 33406-7608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669804720
Provider Name
Mario Theliard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2330 S Congress Ave, West Palm Beach, FL, 33406-7608
Phone Number
561-432-5849
Fax Number
Provider Enumeration Date
07/31/2013
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OS240 01 FL MEDICARE
010726500 05 FL
institution
Provider Business Practice Location Address Details
Address
2330 S Congress Ave
City
West Palm Beach
State
Florida
Zip
33406-7608
Phone Number
561-432-5849
Fax Number
person
Provider Business Mailing Address Details
Address
2330 S Congress Ave
City
West Palm Beach
State
Florida
Zip
33406-7608
Phone Number
561-432-5849
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
020982 ()
Definition
Definition to come...
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