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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DERRICK J MARTIN SR., MD

Active

MR. DERRICK J MARTIN SR., MD is a Internal Medicine healthcare provider located in SUMMERFIELD, Florida. NPI 1104980812 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SUMMERFIELD, FL

Registration Details

NPI Number
1104980812
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2006 (19.666668446152 yrs)
Last Updated
Sep 21, 2022
Licenses
MD205035 (LA)
ME100133 (FL)
ME100133 (FL)

Practice Information

Address
10770 SE 173RD ST
SUMMERFIELD, FL, 344916851
Browse FL providers · Browse ZIP 34491
Phone
3524257321
Fax
3527482700
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Vascular Surgery
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in SUMMERFIELD, FL

Name Credential NPI
MR. SHAHBAZ ALI CHEEMA MD 1922079508
LUNA BELLA BECK M.D. 1790742062
DR. MA THUZAR AUNG M.D. 1053358382
LAURO GARCIA LAPUZ MD 1265475982
DR. MARIVIC DELOS REYES VILLA M.D. 1629092564
JORGE ALFONSO MD 1003910654
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.