Martin, Andres E

Martin, Andres E is an sole proprietor health care provider with primary practice located at 4024 Central Ave Suncoast Cetner, Inc., St Petersburg FL 33711-1239. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Martin, Andres E can be contacted via phone (727) 327-7656.

Contact Information

Primary practice address
4024 Central Ave Suncoast Cetner, Inc. St Petersburg FL 33711-1239
Phone: (727) 327-7656
Fax: (727) 322-2150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME83254 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME83254 Florida

Profile Details

NPI number 1467474767
LBN Legal business name Martin, Andres E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Apr 18th, 2014 - 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 1467474767 NPPES
Florida MEDICAID 266619700
Florida Other E920872
Florida MEDICAID 12652
Florida Other 12652

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