Search › Florida › 207R00000X
Derrick Martin, MD
NPI 1104980812 · on the registry since 2006
Practice
- Address
- 10770 Se 173rd St
Summerfield, FL 34491 - Phone
- (352) 425-7321
- Fax
- (352) 748-2700
- Organisation at this address
- Icmd Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208600000X
2086S0129X - Licence states on file
- LA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida