Individual
DR. MARTIN EDWARD ORLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5800 49TH ST N, S-109, ST PETERSBURG, FL 33709-2146
(727) 522-1115
(727) 522-0018
Mailing address
5800 49TH ST N, S-109, ST PETERSBURG, FL 33709-2146
(727) 522-1115
(727) 522-0018
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0051975
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME00151975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054970300
—
FL
Enumeration date
08/01/2005
Last updated
04/24/2017
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