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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