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Organization
JOSE C MARTIN MD PA
Active
Organization
JOSE C MARTIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE CELESTINO MARTIN (MEDICAL DIRECTOR)
(305) 859-0569
Entity
Organization
Contact information
Practice address
6850 CORAL WAY FL 5, MIAMI, FL 33155-1758
(305) 265-4441
(305) 265-4844
Mailing address
2400 SW 69TH AVE, MIAMI, FL 33155-2919
(305) 412-6323
(305) 412-6326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065557100
—
FL
05
—
116511100
—
FL
Enumeration date
11/25/2008
Last updated
03/27/2024
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