Individual
DR. IDELFIA A MARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3280 N MCMULLEN BOOTH RD STE 200, CLEARWATER, FL 33761-2046
(727) 216-1141
(727) 796-1590
Mailing address
PO BOX 102222, ATTN: CREDENTIALING DEPT., ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME61596
FL
207RX0202X
Medical Oncology Physician
Primary
ME61596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371066100
—
FL
01
—
P00663686
RR MEDICARE
FL
Enumeration date
05/24/2006
Last updated
08/10/2022
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