Martinko, Thomas Michael

Martinko, Thomas Michael is an individual health care provider with primary practice located at 6100 Minton Rd Nw Ste 202 , Palm Bay FL 32907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Martinko, Thomas Michael can be contacted via phone (321) 308-0601.

Contact Information

Primary practice address
6100 Minton Rd Nw Ste 202 Palm Bay FL 32907
Phone: (321) 308-0601
Fax: (321) 308-0598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 29086 Alabama
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 030140 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0113438 Florida

Profile Details

NPI number 1962482133
LBN Legal business name Martinko, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated May 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962482133 NPPES
Georgia Other 030140 STATE MEDICAL LICENSE
Georgia Other 51593425 STATE MEDICAL LICENSE
Georgia MEDICAID 006458500 STATE MEDICAL LICENSE
Georgia Other 2006-01605 STATE MEDICAL LICENSE
Georgia Other 29086 STATE MEDICAL LICENSE

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