Organization
MARTIN MEMORIAL MEDICAL CENTER INC
Active
Other names
CLEVELAND CLINIC MARTIN NORTH, SOUTH, TRADITION HOSPITALS
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 287-5200
Mailing address
6801 BRECKSVILLE RD, STE 20, DPC RK2-7, INDEPENDENCE, OH 44131-5062
(216) 442-5724
(216) 636-8036
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010118400
—
FL
01
—
206
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/22/2006
Last updated
08/26/2025
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