NPI 1578031860
Mark Martin, CCP
Practice location
- Address
- 6500 W Newberry Rd, Gainesville, FL 32605-4309
- Phone
- (352) 333-4180
- Mailing address
- 3846 SW 105th St, Gainesville, FL 32608-9554
Registered specialties
Perfusionist
Primary
Registry record
- NPI
- 1578031860
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Nov 2018
- Record last updated
- 5 Nov 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.