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NPI Code Detail

MEDICARE: DR. DACELIN ST MARTIN MD

MEDICARE: DR. DACELIN ST MARTIN MD
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
1207RS0012XSleep Medicine (Internal Medicine) PhysicianME90844FL
2207RS0012XSleep Medicine (Internal Medicine) PhysicianMD0000059707TN
3207RS0012XSleep Medicine (Internal Medicine) PhysicianMD23213ME
4207RS0012XSleep Medicine (Internal Medicine) Physician0101268192VA
5207RS0012XSleep Medicine (Internal Medicine) Physician205680MA
6207RS0012XSleep Medicine (Internal Medicine) PhysicianMD-46944IA
7207RS0012XSleep Medicine (Internal Medicine) Physician036.151724IL
8207RS0012XSleep Medicine (Internal Medicine) Physician300985NY
9207RS0012XSleep Medicine (Internal Medicine) Physician11463402-1205UT
10207RS0012XSleep Medicine (Internal Medicine) Physician35.137194OH
11207RS0012XSleep Medicine (Internal Medicine) PhysicianC167271CA
12207RS0012XSleep Medicine (Internal Medicine) Physician01082741AIN
13208000000XPediatrics PhysicianME90844FL
142080S0012XPediatric Sleep Medicine PhysicianME90844FL
15207R00000XInternal Medicine PhysicianME90844FL

Other Identifiers

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

General Provider Information

NPI Number : 1457392136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DACELIN ST MARTIN MD
Provider Business Mailing Address
First Line : PO BOX 2066
Second Line :
City : LECANTO
State : FL
Zip : 34460-2066
Country : US
Telephone Number : 352-527-6888
Fax Number : 352-527-8818
Provider Business Practice Location Address
First Line : 1990 N PROSPECT AVE
Second Line :
City : LECANTO
State : FL
Zip : 34461-9792
Country : US
Telephone Number : 352-527-6888
Fax Number : 352-527-8818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 10/18/2024

Similar Medicare Providers

1740894690 — MARIA LEZCANO TOMMOLINO APRN
Practice Location Address:
1990 N PROSPECT AVE
LECANTO, FL
34461-9792
Practice Phone: 352-527-6888
Practice Fax:
1255397501 — ANGELA WHITE KELLEY PA-C
Practice Location Address:
1990 N PROSPECT AVE
LECANTO, FL
34461-9792
Practice Phone: 352-527-6888
Practice Fax: 352-527-6888
1396805115 — PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
Practice Location Address:
1990 N PROSPECT AVE
LECANTO, FL
34461-9792
Practice Phone: 352-527-6888
Practice Fax: 352-527-8818
1669521001 — MARYELLEN E GREENE PA-C
Practice Location Address:
1990 N PROSPECT AVE
LECANTO, FL
34461-9792
Practice Phone: 352-527-6888
Practice Fax: 352-527-8818
1154529642 — LILIA RASHITOVNA SHAMMAS M.D.
Practice Location Address:
1990 N PROSPECT AVE
LECANTO, FL
34461-9792
Practice Phone: 352-527-6888
Practice Fax: 352-527-8818
1316119514 — TAMRA RENAE ASSUMPCAO P.A.-C
Practice Location Address:
1990 N PROSPECT AVE
LECANTO, FL
34461-9792
Practice Phone: 352-527-6888
Practice Fax: 352-527-8818

Directions to “ DR. DACELIN ST MARTIN MD” Practice Location

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