Martin, Laura Susan

Martin, Laura Susan is an individual health care provider with primary practice located at 3333 Capital Oaks Dr , Tallahassee FL 32308-4513. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Martin, Laura Susan can be contacted via phone (850) 431-4041.

Contact Information

Primary practice address
3333 Capital Oaks Dr Tallahassee FL 32308-4513
Fax: (850) 431-4471
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X ME43734 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X ME43734 Florida

Profile Details

NPI number 1356381834
LBN Legal business name Martin, Laura Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 10th, 2017 - about 7 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 1356381834 NPPES
Florida MEDICAID 278957400
Florida MEDICAID 102212446A
Florida Other 102212446A

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