Jessie Martin in Lehigh Acres - General Practice
Jessie Martin - NPI 1073547972
Jessie Martin is a General Practice in Lehigh Acres, Florida. Jessie Martin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jessie Martin is 1073547972. The last update date is 2018-07-24.
Jessie Martin's current location address is 8140 Liriope Loop, Lehigh Acres, Florida. You can contact this provider via phone number 6462676718. The mailing address for Jessie Martin is 8140 Liriope Loop, Lehigh Acres, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessie Martin |
|---|---|
| Address | 8140 Liriope Loop, Lehigh Acres, Florida |
| Phone Number | 6462676718 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073547972 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2018-07-24 |
Provider Mailing Address Detail
| Address | 8140 Liriope Loop |
|---|---|
| City | Lehigh Acres |
| State | Florida (FL) |
| Post Code | 339727546 |
| Phone Number | 6462676718 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | ACN783 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 105600 | KS | PERFORMING INDIV. NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Jessie Martin by the Centers for Medicare & Medicaid Services?
The Jessie Martin has been issued the NPI (National Provider Identifier) 1073547972. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jessie Martin is physically located?
The Jessie Martin is situated at the following address: 8140 Liriope Loop, Lehigh Acres, FL 339727546.
What is Jessie Martin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jessie Martin is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
On what date did Jessie Martin receive its 1073547972 assignment from the Centers for Medicare & Medicaid Services?
The Jessie Martin was assigned its 1073547972 on 2006-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jessie Martin most recently updated or revised?
The information pertaining to Jessie Martin, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-24.