Martin, Andres E
Martin, Andres E is an sole proprietor health care provider with primary practice located at 4024 Central Ave Suncoast Cetner, Inc., St Petersburg FL 33711-1239. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Martin, Andres E can be contacted via phone (727) 327-7656.Contact Information
Primary practice address
4024 Central Ave Suncoast Cetner, Inc.
St Petersburg FL 33711-1239
Phone: (727) 327-7656
Fax: (727) 322-2150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ME83254 | Florida |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME83254 | Florida |
Profile Details
NPI number | 1467474767 |
---|---|
LBN Legal business name | Martin, Andres E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2006 |
Last updated | Apr 18th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467474767 | NPPES |
Florida | MEDICAID | 266619700 | |
Florida | Other | E920872 | |
Florida | MEDICAID | 12652 | |
Florida | Other | 12652 |
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