Organization
MARTIN MEMORIAL PHYSICIAN CORPORATION INC
Active
Organization
MARTIN MEMORIAL PHYSICIAN CORPORATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-2832
(772) 781-2716
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
(216) 636-4969
(216) 636-6063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208D00000X
General Practice Physician
—
FL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377282900
—
FL
05
—
377282901
—
FL
05
—
377282903
—
FL
05
—
377282906
—
FL
05
—
377282907
—
FL
05
—
377282912
—
FL
05
—
377282913
—
FL
05
—
377282917
—
FL
05
—
377282920
—
FL
05
—
377282921
—
FL
01
—
CC6070
RR MEDICARE
FL
Enumeration date
06/10/2006
Last updated
08/08/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up