Individual
DEVIN REECE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6413
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4129
GA
363A00000X
Physician Assistant
Primary
PA9109422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337508248A
—
GA
05
—
337508248C
—
GA
01
—
P00367831
RAILROAD MEDICARE
GA
Enumeration date
06/05/2006
Last updated
01/27/2023
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