Individual
DR. MARTIN W CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 NE 25TH AVE, SUITE 302, OCALA, FL 34470-5667
(352) 622-2221
(352) 622-4193
Mailing address
2405 SE 17TH ST, SUITE 201, OCALA, FL 34471-9192
(352) 690-2171
(352) 690-6954
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME34335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02035
BCBS
FL
05
—
273687000
—
FL
01
—
P00896710
RR MEDICARE
FL
Enumeration date
01/18/2006
Last updated
01/25/2012
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