Martin, Lilla Gayle
Martin, Lilla Gayle is an sole proprietor health care provider with primary practice located at 1893 Kingsley Ave Suite B, Orange Park FL 32073-4491. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Martin, Lilla Gayle can be contacted via phone (904) 272-6955.Contact Information
Primary practice address
1893 Kingsley Ave Suite B
Orange Park FL 32073-4491
Phone: (904) 272-6955
Fax: (904) 272-5001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME0030921 | Florida |
Profile Details
| NPI number | 1275516999 |
|---|---|
| LBN Legal business name | Martin, Lilla Gayle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Apr 27th, 2010 - about 15 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 | 1275516999 | NPPES |
| Florida | MEDICAID | 065902900 |
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