Individual
DR. GERARD J. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8665 NW 186TH ST, HIALEAH, FL 33015-2553
(305) 682-7262
(954) 276-7047
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME114724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112115300
—
FL
Enumeration date
08/29/2008
Last updated
03/22/2024
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