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Individual
MR. EDOUARD RENE MARTIN
Active
Individual
MR. EDOUARD RENE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME59266
FL
207RN0300X
Nephrology Physician
Primary
ME59266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056913500
—
FL
01
—
1000619
CAREPLUS
FL
01
—
12490
BCBS
FL
01
—
205874
AV MED
FL
Enumeration date
08/25/2005
Last updated
07/22/2010
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