Individual
ISMAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6101 PINE RIDGE RD FL 3, NAPLES, FL 34119-3900
(239) 315-7123
(239) 315-7122
Mailing address
311 9TH ST N, SUITE 100, NAPLES, FL 34102
(239) 624-8250
(239) 430-7824
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
100527
WI
207RP1001X
Pulmonary Disease Physician
Primary
OS9649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001414630
—
CT
Enumeration date
02/07/2006
Last updated
08/01/2023
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