Individual
MICHAEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
(407) 667-4338
Mailing address
291 SOUTHHALL LN, MAITLAND, FL 32751-7290
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9173799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307496000
—
FL
01
—
G3944
BCBS
FL
Enumeration date
06/02/2006
Last updated
10/30/2013
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