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Individual

LAURENCE J MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7543 MEDICAL DR, HUDSON, FL 34667-6502
(727) 868-7800
(727) 868-7866
Mailing address
7543 MEDICAL DR, HUDSON, FL 34667-6502
(727) 868-7800
(727) 868-7866

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0073800
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254512800
FL
Enumeration date
03/24/2006
Last updated
05/09/2013
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