SALLY MARTIN


Address: 23320 N State Road 235, Brooker, FL 32622-5266
Phone: 3524851133

SALLY MARTIN (NPI# 1386705762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386705762
Entity Type Individual
Full Name SALLY MARTIN
Credential M.D.
Practice Address 23320 N State Road 235
Brooker
FL 32622-5266
Mailing Address 8602 Sw 42nd Pl
Gainesville
FL 32608-4146
Practice Telephone 3524851133
Practice Fax Number 3524852927
Mailing Telephone 3524851133
Mailing Fax Number 3524852927
Enumeration Date 2006-12-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics ME 0064344 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE ID # ME 0064344 01

Other Providers SALLY MARTIN

NPI Name Taxonomy Address Enumeration
1043445315 Sally C Martin Social Worker 5231 Hickory Park Dr Ste C, Glen Allen, VA 23059-2619 2009-05-15
1548743206 Sally Martin Counselor 8788 Elk Grove Blvd Ste L, Elk Grove, CA 95624-1768 2018-09-10
1396001335 Sally B. Martin Speech-Language Pathologist 7143 Shreve Rd, Achieve Beyond, Falls Church, VA 22043 2012-04-04
1710254727 Sally Martin Community Health Worker 6000 Kanakanak Rd, Dillingham, AK 99576-0130 2011-11-18
1497996326 Sally Ann Martin Registered Nurse 813 Fay Rd, Syracuse, NY 13219-3009 2009-03-24
1992988067 Sally A Martin Speech-Language Pathologist 2200 N Poplar St, Department of Special Services, North Little Rock, AR 72114-2322 2007-12-12

Office Location

Street Address 23320 N STATE ROAD 235
City BROOKER
State FL
Zip Code 32622-5266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417987967 William M Witt Dentist 23320 N State Road 235, Brooker, FL 32622-5266 2006-07-03
1033439823 Paayal Bhakta Dentist 23320 N State Road 235, Brooker, FL 32622-5266 2010-06-03
1992944599 Edward L. Herod Dentist 23320 N State Road 235, Brooker, FL 32622-5266 2009-02-05
1275651093 Robert Thoburn Internal Medicine 23320 N State Road 235, Brooker, FL 32622-5266 2007-03-27
1487772216 Alachua County Organization for Rural Needs, Inc. General Practice 23320 N State Road 235, Brooker, FL 32622-5266 2007-03-27
1356426654 Dale Ryon Internal Medicine 23320 N State Road 235, Brooker, FL 32622-5266 2006-10-26
1447335831 Lisa Molitor Nurse Practitioner 23320 N State Road 235, Brooker, FL 32622-5266 2006-10-26
1760567077 Susan Bliss Nurse Practitioner 23320 N State Road 235, Brooker, FL 32622-5266 2006-10-26
1477635514 Karolyn Godbey Nurse Practitioner 23320 N State Road 235, Brooker, FL 32622-5266 2006-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245863844 Lacey Ashton Coleman Nurse Practitioner 11477 Sw Sr 231, Brooker, FL 32622 2020-02-21
1609850072 Abigail Elizabeth Palmer Physician Assistant 23320 North State Road 235, Acorn Clinic, Brooker, FL 32622 2005-11-30
1255643565 Lawrence Walter Dupee Mechanotherapist 16526 Sw 137th Ave, Brooker, FL 32622-2357 2010-07-02
1326387473 Marc T Frazer Occupational Therapist 14627 Sw 155th Ave, Brooker, FL 32622-2864 2013-02-10

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134734072 Megan Anne Watkins Pediatrics 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 2020-09-08
1114530664 Complex Care of Central Florida, LLC Pediatrics 508 Sweetwater Club Cir, Longwood, FL 32779-2131 2020-08-25
1073123931 Topaz Pediatrics, LLC Pediatrics 2513 E Semoran Blvd, Apopka, FL 32703-5835 2020-08-05
1255941688 Doctors Memorial Health Clinic Pediatrics 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 2020-07-31
1508475815 Baptist Primary Care Inc Pediatrics 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 2020-07-23
1720603129 Kids' Corner Pediatrics Pediatrics 1114 Bell Shoals Road, Brandon, FL 33511-8813 2020-06-11
1245855063 Pediatric Associates of Tampa Bay, LLC Pediatrics 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 2020-06-09
1396369187 Im Sulzbacher Center for The Homeless, Inc Pediatrics 5455 Springfield Blvd, Jacksonville, FL 32208-5166 2020-06-08
1255954855 Step By Step Ppec Corp Pediatrics 8300 Nw 177th St, Hialeah, FL 33015-3645 2020-05-19
1932721107 Dr. B's Kids, Pa Pediatrics 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 2020-05-11
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Competitor

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City BROOKER
Zip Code 32622

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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