Martin, Calvin W

Martin, Calvin W is an individual health care provider with primary practice located at 4343 W Newberry Rd , Gainesville FL 32607-2817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Calvin W can be contacted via phone (352) 416-1082.

Contact Information

Primary practice address
4343 W Newberry Rd Gainesville FL 32607-2817
Fax: (352) 343-6144
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 0072829 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME72829 Florida

Profile Details

NPI number 1609862234
LBN Legal business name Martin, Calvin W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Oct 24th, 2019 - about 7 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 1609862234 NPPES
Florida MEDICAID 1010558500

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