Mark Martin (NPI# 1073023024, PAC ID# 0345596987) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1073023024 |
| PAC ID by PECOS | 0345596987 |
| Professional Enrollment ID | I20180711003488 |
| Full Name | Mark Martin |
| Organization Legal Name | PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC |
| Address |
1831 Gilmore Ave Lakeland FL 33805-3017 |
| Phone Number | 8635190575 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7719877927 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 8635190575 | PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC |
| 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 8635190575 | PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC |
| Organization Legal Name | PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane Wilkins | Clinical Social Worker | Peace River Center for Personal Development Inc | 106 N Main Ave, Lake Placid, FL 33852-2604 |
| Alicia Nicole Carden | Nurse Practitioner | Peace River Center for Personal Development Inc | 1831 Gilmore Ave, Lakeland, FL 33805-3017 |
| Olivia J Anderson | Clinical Social Worker | Peace River Center for Personal Development Inc | 1835 Gilmore Ave, Lakeland, FL 33805-3017 |
| Rose I Ogle | Clinical Social Worker | Peace River Center for Personal Development Inc | 213 E Orange St, Wauchula, FL 33873-2934 |
| Alvaro Restrepo | Psychiatry | Peace River Center for Personal Development Inc | 1255 Golfview Ave, Bartow, FL 33830-6736 |
| Karen Barber Stewart | Clinical Social Worker | Peace River Center for Personal Development Inc | 1825 N Gilmore Ave, Lakeland, FL 33805-3018 |
| Charles A Barrios | Psychiatry | Peace River Center for Personal Development Inc | 1831 N Crystal Lake Dr, Lakeland, FL 33801-5902 |
| Jessica L Dobbertin | Clinical Social Worker | Peace River Center for Personal Development Inc | 1835 Gilmore Ave, Lakeland, FL 33805-3017 |
| Adelma Kilgore | Clinical Social Worker | Peace River Center for Personal Development Inc | 1835 Gilmore Ave, Lakeland, FL 33805-3017 |
| Mavra Eileen Kear | Nurse Practitioner | Peace River Center for Personal Development Inc | 1831 N Crystal Lake Dr, Lakeland, FL 33801-5902 |
| Street Address |
1831 GILMORE AVE |
| City | LAKELAND |
| State | FL |
| Zip | 33805-3017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Nicole Carden | Nurse Practitioner | Peace River Center for Personal Development Inc | 1831 Gilmore Ave, Lakeland, FL 33805-3017 |
| Heather Ellis Bonfil | Nurse Practitioner | Peace River Center for Personal Development Inc | 1831 Gilmore Ave, Lakeland, FL 33805-3017 |
| Marcdala Destin | Clinical Social Worker | Peace River Center for Personal Development Inc | 1831 Gilmore Ave, Lakeland, FL 33805-3017 |
| James Anders Christensen | Psychiatry | Peace River Center for Personal Development Inc | 1831 Gilmore Ave, Lakeland, FL 33805-3017 |
| Michelle E Means | Clinical Social Worker | Peace River Center for Personal Development Inc | 1831 Gilmore Ave, Lakeland, FL 33805-3017 |
| Nilsa De Jesus Rosario | Psychiatry | Peace River Center for Personal Development Inc | 1831 Gilmore Ave, Lakeland, FL 33805-3017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tami L Hower | Nurse Practitioner | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Bishoy Kolta | Psychiatry | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Bruce W Meyers | Critical Care (intensivists) | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Rahim Salari | Pulmonary Disease | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Toan Nguyen | General Surgery | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Mariana Fernandez | Hospitalist | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Edward J Carroll | Physician Assistant | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Jennifer J Hughes | Physician Assistant | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Sakeena E Baccas | Physician Assistant | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Aung Naing | Critical Care (intensivists) | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Find all physicians in zip 33805 | |||
| City | LAKELAND |
| Zip Code | 33805 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LAKELAND + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.