Martin, Jeremy Scott
Martin, Jeremy Scott is an sole proprietor health care provider with primary practice located at 2481 N.E. Coachman Rd , Clearwater FL 33765. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Martin, Jeremy Scott can be contacted via phone (727) 797-9756.Contact Information
Primary practice address
2481 N.E. Coachman Rd
Clearwater FL 33765
Phone: (727) 797-9756
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | Florida |
Profile Details
| NPI number | 1962996140 |
|---|---|
| LBN Legal business name | Martin, Jeremy Scott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2018 |
| Last updated | Jun 20th, 2018 - about 6 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 | 1962996140 | NPPES |
| Florida | MEDICAID | 021020300 |
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