Individual
ROBERT J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
873 STERTHAUS AVE, #303, ORMOND BEACH, FL 32174-5189
(386) 671-6591
(386) 671-6598
Mailing address
305 MEMORIAL MEDICAL PARKWAY, SUITE 206, DAYTONA BEACH, FL 32117
(386) 231-3540
(386) 231-3544
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME 98396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000765058A
—
GA
Enumeration date
12/15/2006
Last updated
09/03/2010
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