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NPI Code Detail

MEDICARE: DR. SAMUEL C. MARTINO D.O.

MEDICARE: DR. SAMUEL C. MARTINO D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS0003607FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01202206OTHERFLR&R MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194837971
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL C. MARTINO D.O.
Provider Business Mailing Address
First Line : 38135 MARKET SQ
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-7505
Country : US
Telephone Number : 813-528-4975
Fax Number :
Provider Business Practice Location Address
First Line : 7229 US HIGHWAY 301 S
Second Line :
City : RIVERVIEW
State : FL
Zip : 33578-4346
Country : US
Telephone Number : 813-677-8418
Fax Number : 813-355-5906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 11/02/2015

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