Individual
DR. MARTIN FISHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1099 CITRUS TOWER BLVD, CLERMONT, FL 34711-1947
(352) 394-4071
Mailing address
17137 MAGNOLIA ISLAND BLVD, CLERMONT, FL 34711-5936
(352) 243-9114
(352) 243-7822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME71566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35935
BLUE CROSS BLUE SHIELD
—
01
—
50084555
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
07/08/2007
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