Martin, Edouard Rene

Martin, Edouard Rene is an individual health care provider with primary practice located at 2951 Nw 49Th Ave. Suite #101, Lauderdale Lakes FL 33313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Martin, Edouard Rene can be contacted via phone (954) 739-2511.

Contact Information

Primary practice address
2951 Nw 49Th Ave. Suite #101 Lauderdale Lakes FL 33313
Phone: (954) 739-2511
Fax: (954) 739-9239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME59266 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME59266 Florida

Profile Details

NPI number 1831182880
LBN Legal business name Martin, Edouard Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 22nd, 2010 - about 14 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 1831182880 NPPES
Florida MEDICAID 056913500
Florida Other 12490
Florida Other 205874
Florida Other 1000619

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