# ALL KIDS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AGUSTIN A. MARTIN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306058144
- **Authorized official:** AGUSTIN ALFONSO MARTIN M.D. (PRESIDENT)
- **Authorized official phone:** (813) 849-5437

## Contact information

- **Practice address:** 1922 W. MARTIN LUTHER KING JR. BLVD, TAMPA, FL 33607-6510
- **Practice address phone:** (813) 849-5437
- **Practice address fax:** (813) 849-2624
- **Mailing address:** PO BOX 15876, TAMPA, FL 33684-5876
- **Mailing address phone:** (813) 849-5437
- **Mailing address fax:** (813) 849-2624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME56110 | FL | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 03/21/2014