Organization
JOEL L MARTIN M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL L MARTIN M D P A (PRESIDENT)
(954) 961-7700
Entity
Organization
Contact information
Practice address
3939 HOLLYWOOD BLVD, STE 3A, HOLLYWOOD, FL 33021-6749
(954) 961-7700
(954) 961-0092
Mailing address
3939 HOLLYWOOD BLVD, STE 3A, HOLLYWOOD, FL 33021-6749
(954) 961-7700
(954) 961-0092
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0016209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065443
GHI
FL
05
—
049413500
—
FL
01
—
06844
B/S
FL
01
—
1902072
UNITED
FL
01
—
203294
AVMED
FL
01
—
341998433
RR MEDICARE
FL
01
—
4068841
AETNA
FL
Enumeration date
03/14/2008
Last updated
05/12/2008
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