Individual
ANDREW S MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2415 N ORANGE AVE, SUITE 502, ORLANDO, FL 32804-5505
(407) 303-2801
(407) 303-2805
Mailing address
2415 N ORANGE AVE, SUITE 502, ORLANDO, FL 32804-5505
(407) 303-2801
(407) 303-2805
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME76895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257861100
—
FL
01
—
49148
BCBS
FL
01
—
990014992
RAILROAD MEDICARE
—
Enumeration date
06/15/2006
Last updated
04/30/2012
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