Individual
DR. LILLA GAYLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-9079
(352) 273-8889
Mailing address
1893 KINGSLEY AVE, SUITE B, ORANGE PARK, FL 32073-4491
(904) 272-6955
(904) 272-5001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME30921
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME0030921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065902900
—
FL
Enumeration date
11/28/2005
Last updated
09/16/2025
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