Individual
DAVID THOMAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1549 AIRPORT BLVD, SUITE 200, PENSACOLA, FL 32504-8633
(850) 416-4960
(850) 416-4961
Mailing address
1549 AIRPORT BLVD, SUITE 200, PENSACOLA, FL 32504-8633
(850) 416-4960
(850) 416-4961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME82255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262144403
—
FL
Enumeration date
07/13/2005
Last updated
06/01/2011
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