Individual
DR. MARTINS CHIMA MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS SPECIALTY CARE, JACKSONVILLE, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3927
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME127275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018983400
—
FL
Enumeration date
05/01/2012
Last updated
01/11/2017
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