Individual
FREDDY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME148645
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME148645
FL
208D00000X
General Practice Physician
ME148645
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2018
Last updated
05/23/2024
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