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
Phone: (850) 431-4041
Fax: (850) 431-4471
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356381834 | NPPES |
Florida | MEDICAID | 278957400 | |
Florida | MEDICAID | 102212446A | |
Florida | Other | 102212446A |
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