Individual
ADAM ROSS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE # WW279, MIAMI, FL 33136-1005
(305) 585-8178
(305) 585-5743
Mailing address
1611 NW 12TH AVE # WW279, MIAMI, FL 33136-1005
(305) 585-8178
(305) 585-5743
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
ME134624
FL
390200000X
Student in an Organized Health Care Education/Training Program
0116024785
VA
Other
Enumeration date
06/15/2012
Last updated
03/17/2018
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