<Unavail>

LBN: Sandy Martin Dermatology Llc
<Unavail> is an health care organization with primary practice located at 13641 Metropolis Ave Ste 102, Fort Myers FL 33912-4433. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Sandy Martin Dermatology Llc can be contacted via phone (239) 208-4408, or through Martin, Sandy via phone (239) 208-4408.

Contact Information

Primary practice address
13641 Metropolis Ave Ste 102 Fort Myers FL 33912-4433
Phone: (239) 208-4408
Fax: (888) 990-1670
Website:
Map and Directions
Authorized official contact:
Name: Martin, Sandy Doctor of Medicine (MD)
Phone: (239) 208-4408

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME30746 Florida

Profile Details

NPI number 1265856256
LBN Legal business name Sandy Martin Dermatology Llc
DBA Doing business as <Unavail>
Authorized official Martin, Sandy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2014
Last updated Aug 4th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265856256 NPPES
Florida Other HS963A MEDICARE PTAN
Florida Other 93792T MEDICARE PTAN

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