Alla, Martin

Alla, Martin is an individual health care provider with primary practice located at 2001 Kingsley Ave , Orange Park FL 32073-5156. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Alla, Martin can be contacted via phone (904) 639-2000.

Contact Information

Primary practice address
2001 Kingsley Ave Orange Park FL 32073-5156
Phone: (904) 639-2000
Fax: (904) 639-2015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS18774 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS18774 Florida

Profile Details

NPI number 1386263267
LBN Legal business name Alla, Martin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2020
Last updated May 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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