Martino, Donald Keith

Martino, Donald Keith is an individual health care provider with primary practice located at 1000 Waterman Way , Tavares FL 32778-5266. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Martino, Donald Keith can be contacted via phone (352) 253-3333.

Contact Information

Primary practice address
1000 Waterman Way Tavares FL 32778-5266
Phone: (352) 253-3333
Fax: (352) 589-3487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP977482 Florida

Profile Details

NPI number 1053429126
LBN Legal business name Martino, Donald Keith
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Oct 17th, 2012 - about 12 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 1053429126 NPPES
Florida Other G1859 BC BS
Florida MEDICAID 301759100 BC BS

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