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General NPI Number Information
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NPI Number | 1013304534
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Entity Type | Organization
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Legal Business Name | MARTIN MEDICAL CENTER, INC
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 8500 SW 92ND ST STE 201
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City | MIAMI
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State | FL
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Zip | 33156-7379
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Country | US
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Telephone | 786-703-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 SW 92ND ST STE 201
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City | MIAMI
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State | FL
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Zip | 33156-7379
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Country | US
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Telephone | 786-703-3557
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YANELIS MARTIN
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Credential | M.D.
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Telephone | 305-720-1626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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