Individual
DR. JAMES PETER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1619 CREIGHTON RD STE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 434-8144
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-4700
(850) 444-7497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
DO.1286
AL
207RN0300X
Nephrology Physician
Primary
OS3923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110233261
FLORIDA RR MEDICARE
FL
05
—
261540100
—
FL
01
—
51866
BLUE CROSS BLUE SHIELDS
FL
01
—
DO.1286
MEDICAL LICENSE
AL
01
—
OS3923
MEDICAL LICENSE
FL
Enumeration date
05/31/2005
Last updated
03/07/2023
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