Individual
MR. CALVIN W MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4343 W NEWBERRY RD, GAINESVILLE, FL 32607-2817
(352) 416-1082
(352) 343-6144
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 373-6338
(352) 373-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME 0072829
FL
207Q00000X
Family Medicine Physician
Primary
ME72829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010558500
—
FL
Enumeration date
09/20/2005
Last updated
10/24/2019
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