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Individual

DR. JOHN TYLER MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
2803 RED PLUM CT, SHALIMAR, FL 32579-2192
(205) 552-9355

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS19738
FL
390200000X
Student in an Organized Health Care Education/Training Program
FL

Other

Enumeration date
03/26/2020
Last updated
07/25/2023
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