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

MARK MARTIN, CCP

Active Sole Proprietor

MARK MARTIN, CCP is a Orthotic Fitter healthcare provider located in GAINESVILLE, Florida. NPI 1578031860 is currently active in the NPPES registry. Verify at CMS.

Orthotic Fitter · GAINESVILLE, FL

Registration Details

NPI Number
1578031860
Provider Type
Individual
Gender
Male
NPI Issued
Nov 5, 2018 (7.7356836242487 yrs)
Last Updated
Nov 5, 2018
Sole Proprietor
Yes

Practice Information

Address
6500 W NEWBERRY RD
GAINESVILLE, FL, 326054309
Browse FL providers · Browse ZIP 32605
Phone
3523334180
Primary Specialty
Orthotic Fitter
242T00000X
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.