St Martin, Dacelin

St Martin, Dacelin is an sole proprietor health care provider with primary practice located at 1990 N Prospect Ave , Lecanto FL 34461-9792. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. St Martin, Dacelin can be contacted via phone (352) 527-6888.

Contact Information

Primary practice address
1990 N Prospect Ave Lecanto FL 34461-9792
Fax: (352) 527-8818
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X ME90844 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME90844 Florida
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X ME90844 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME90844 Florida

Profile Details

NPI number 1457392136
LBN Legal business name St Martin, Dacelin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Oct 14th, 2021 - about 3 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 1457392136 NPPES
Florida MEDICAID 269996600

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