Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO 1783 | FL |
N | 222Z00000X | Podiatrist | PO 1783 | FL |
Y | 213ES0103X | Foot & Ankle Surgery | PO 1783 | FL |
NPI | 1003804675 |
---|---|
Provider Name | Dr. Martin Thomas Girling |
First Address | Plant City, FL 33563-4362 |
Second Address | Plant City, FL 33563-4362 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2005 |
Last Update Date | 14/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CJ2851 | RAILROAD MEDICARE (01) | FL |
T13456 | (02) | FL |