Brody, Martin

Brody, Martin is an individual health care provider with primary practice located at 1325 Ne 171St St , North Miami Beach FL 33162-2732. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Brody, Martin can be contacted via phone (305) 652-4976.

Contact Information

Primary practice address
1325 Ne 171St St North Miami Beach FL 33162-2732
Fax: (305) 652-7646
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME15707 Florida
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X ME15707 Florida

Profile Details

NPI number 1801895388
LBN Legal business name Brody, Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 9th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801895388 NPPES
Florida MEDICAID 053562100

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