Individual
DR. SANDY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1090 CAMELOT CIR, NAPLES, FL 34119
(561) 706-5422
(888) 257-5932
Mailing address
1090 CAMELOT CIR, NAPLES, FL 34119-1308
(561) 706-5422
(888) 990-1670
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
30746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93792T
MEDICARE PTAN
FL
Enumeration date
06/13/2006
Last updated
05/26/2018
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