Individual
MICHAEL R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
717 E OAK ST, KISSIMMEE, FL 34744-4580
(407) 846-0533
(407) 518-1730
Mailing address
717 E OAK ST, KISSIMMEE, FL 34744-4580
(407) 846-0533
(407) 518-1730
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD40026
TN
2084P0800X
Psychiatry Physician
Primary
ME152762
FL
Other
Enumeration date
04/26/2006
Last updated
07/07/2022
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