Gaines Charles Martin in Orange Park - Family Medicine

Gaines Charles Martin - NPI 1639103021

Gaines Charles Martin is a Family Medicine in Orange Park, Florida. Gaines Charles Martin practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gaines Charles Martin is 1639103021. The last update date is 2013-03-15.

Gaines Charles Martin's current location address is 1409 Kingsley Ave, Suite 9g, Orange Park, Florida. You can contact this provider via phone number 9046370007 and fax number 8664829906. The mailing address for Gaines Charles Martin is 1409 Kingsley Ave, Suite 9g, Orange Park, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gaines Charles Martin
Address 1409 Kingsley Ave, Suite 9g, Orange Park, Florida
Phone Number 9046370007
Fax Number 8664829906
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1639103021
Provider Enumeration Date 2006-07-10
Last Updated Date 2013-03-15

Provider Mailing Address Detail

Address 1409 Kingsley Ave, Suite 9g
City Orange Park
State Florida (FL)
Post Code 32073
Phone Number 9046370007
Fax Number 8664829906

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No ME81545
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2687947 AETNA HMO
279755 AVMED
51002 BCBS MEDICARE
59-3720215 FL --
266202700 FL --

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FAQs about Gaines Charles Martin

What is the unique 10-digit identifier code issued to Gaines Charles Martin by the Centers for Medicare & Medicaid Services?

The Gaines Charles Martin has been assigned the NPI (National Provider Identifier) 1639103021 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Gaines Charles Martin is physically located?

The Gaines Charles Martin is physically situated at the following address: 1409 Kingsley Ave, Suite 9G, Orange Park, FL, 32073.

What is Gaines Charles Martin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gaines Charles Martin is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

When did Gaines Charles Martin receive its 1639103021 assignment?

The Gaines Charles Martin was assigned its 1639103021 on 2006-07-10, which is the date when this unique identifier was issued to the organization.

When was the information regarding Gaines Charles Martin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gaines Charles Martin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-03-15.

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