Individual
DR. TIMOTHY WAYNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0254
(352) 273-6575
(352) 273-7912
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0254
(352) 273-6575
(352) 273-7912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME124825
FL
207L00000X
Anesthesiology Physician
R-4477
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015344900
—
FL
01
—
050049607
RAILROAD MEDICARE
AR
05
—
123974001
—
AR
Enumeration date
10/13/2006
Last updated
11/16/2015
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