Organization
COMMUNITY INTENSIVISTS OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S MARTIN IV (MANAGING MEMBER)
(440) 542-5000
Entity
Organization
Contact information
Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(440) 542-5000
(440) 542-5005
Mailing address
30680 BAINBRIDGE RD, CLEVELAND, OH 44139-2282
(440) 542-5000
(440) 542-5005
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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