Martin, Samuel Preston

Martin, Samuel Preston is an sole proprietor health care provider with primary practice located at 1200 Edgewater Dr , Orlando FL 32804-6314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Martin, Samuel Preston can be contacted via phone (407) 244-8559.

Contact Information

Primary practice address
1200 Edgewater Dr Orlando FL 32804-6314
Phone: (407) 244-8559
Fax: (407) 244-8560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME31846 Florida

Profile Details

NPI number 1124028436
LBN Legal business name Martin, Samuel Preston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Jan 29th, 2025 - about last year

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 1124028436 NPPES
Florida Other 060065287 CHAMPUS
Florida MEDICAID 014987100 CHAMPUS
Florida Other 48967 CHAMPUS

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