Martinez, Richard M

Martinez, Richard M is an individual health care provider with primary practice located at 840 Dr Martin Luther King Jr St N 100, St Petersburg FL 33705-1214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Martinez, Richard M can be contacted via phone (727) 767-4200.

Contact Information

Primary practice address
840 Dr Martin Luther King Jr St N 100 St Petersburg FL 33705-1214
Fax: (954) 858-0404
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 47616 Florida

Profile Details

NPI number 1700823721
LBN Legal business name Martinez, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jun 3rd, 2014 - about 10 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 1700823721 NPPES
Florida MEDICAID 044110400

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