Agustin A. Martin

LBN: All Kids Clinic
Agustin A. Martin is an health care organization with primary practice located at 1922 W. Martin Luther King Jr. Blvd , Tampa FL 33607-6510. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. All Kids Clinic can be contacted via phone (813) 849-5437, or through Martin, Agustin Alfonso via phone (813) 849-5437.

Contact Information

Primary practice address
1922 W. Martin Luther King Jr. Blvd Tampa FL 33607-6510
Phone: (813) 849-5437
Fax: (813) 849-2624
Website:
Map and Directions
Authorized official contact:
Name: Martin, Agustin Alfonso Doctor of Medicine (MD)
Phone: (813) 849-5437

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X ME56110 Florida

Profile Details

NPI number 1306058144
LBN Legal business name All Kids Clinic
DBA Doing business as Agustin A. Martin
Authorized official Martin, Agustin Alfonso Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Mar 21st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306058144 NPPES
Florida MEDICAID 037954900

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