Mr. Derrick J Martin SR.
Surgeon Vascular Surgeon
3003 S Florida Ave Ste 101
Lakeland
, Florida 33803-4050
Mr. Derrick J Martin SR.
Surgeon Vascular Surgeon
3003 S Florida Ave Ste 101
Lakeland
, Florida 33803-4050
(888) 812-8191
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mr. Derrick J Martin SR.
- 3810 Northdale Blvd Ste 150
- Tampa, FL
- Zip : 33624-1871
- Fax : (888) 812-8191
- Phone : (800) 991-6117
Second Address
- Mr. Derrick J Martin SR.
- 3003 S Florida Ave Ste 101
- Lakeland, FL
- Zip : 33803-4050
- Fax : (888) 812-8191
- Phone : (800) 991-6117
Reviews
FAQs
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What type of doctor is Mr. Derrick J Martin SR.
In what state does Mr. Derrick J Martin SR. practice in?
Where is Mr. Derrick J Martin SR.’s practice located?
What is Mr. Derrick J Martin SR.’s gender?
Is Mr. Derrick J Martin SR. a sole practitioner?
Is Mr. Derrick J Martin SR. accepting new patients?
What languages does Mr. Derrick J Martin SR. speak?
Does Mr. Derrick J Martin SR. accept insurance?
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Does Mr. Derrick J Martin SR. have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD205035 | LA |
| N | 208600000X | Surgeon | MD205035 | LA |
| Y | 2086S0129X | Vascular Surgeon | ME100133 | FL |
National Provider Identifier
| NPI | 1104980812 |
|---|---|
| Provider Name | Mr. Derrick J Martin SR. |
| First Address | Tampa, FL 33624-1871 |
| Second Address | Lakeland, FL 33803-4050 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 15/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4Q824 | (02) | LA |
| SDW70 | CHOICECARE (01) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.