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Organization
MARTIN MEMORIAL PHYSICIAN CORPORATION INC
Active
Organization
MARTIN MEMORIAL PHYSICIAN CORPORATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-2832
(772) 781-2716
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
(216) 636-4969
(216) 636-6063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
208D00000X
General Practice Physician
—
FL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/10/2006
Last updated
08/08/2025
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