Derrick J Martin (NPI# 1104980812, PAC ID# 9133027055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1104980812 |
| PAC ID by PECOS | 9133027055 |
| Professional Enrollment ID | I20080625000375 |
| Full Name | Derrick J Martin |
| Organization Legal Name | WAZNI PLLC |
| Address |
3657 Madaca Ln Tampa FL 33618-2048 |
| Phone Number | 8139611331 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2860629466 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3003 S Florida Ave, Suite 101, Lakeland, FL 33803-4050 | 8139611331 | WAZNI PLLC |
| 3657 Madaca Ln, Tampa, FL 33618-2048 | 8139611331 | WAZNI PLLC |
| Organization Legal Name | WAZNI PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Allen Lilly | General Surgery | Wazni Pllc | 2963 Gulf To Bay Blvd, Suite 270, Clearwater, FL 33759-4209 |
| Rafael A Quinones | General Surgery | Wazni Pllc | 4700 N Congress Ave, Suite 301, West Palm Beach, FL 33407-3292 |
| Nicole Alison Figel | General Surgery | Wazni Pllc | 3657 Madaca Ln, Tampa, FL 33618-2048 |
| Scott Meisel | General Surgery | Wazni Pllc | 4700 N Congress Ave, Suite 301, West Palm Beach, FL 33407-3292 |
| Kevin Louis Petermann | Internal Medicine | Wazni Pllc | 3657 Madaca Ln, Tampa, FL 33618-2048 |
| Michael Levy | General Surgery | Wazni Pllc | 4700 N Congress Ave, Suite 301, West Palm Beach, FL 33407-3292 |
| Gamal Wazni | Family Practice | Wazni Pllc | 3657 Madaca Ln, Tampa, FL 33618-2048 |
| Street Address |
3657 MADACA LN |
| City | TAMPA |
| State | FL |
| Zip | 33618-2048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Alison Figel | General Surgery | Wazni Pllc | 3657 Madaca Ln, Tampa, FL 33618-2048 |
| Kevin Louis Petermann | Internal Medicine | Wazni Pllc | 3657 Madaca Ln, Tampa, FL 33618-2048 |
| Gamal Wazni | Family Practice | Wazni Pllc | 3657 Madaca Ln, Tampa, FL 33618-2048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra K Gonzalez | Clinical Social Worker | 16702 N Dale Mabry Hwy, Tampa, FL 33618-1055 | |
| Helen Y Choi | Psychiatry | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Mohammed A Ali | Rheumatology | American Arthritis and Rheumatology Associates LLC | 16594 N Dale Mabry Hwy, Tampa, FL 33618-1325 |
| Dario A Grisales | Interventional Pain Management | 16542 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Bruce Edson | Psychiatry | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Julie K Linton | Clinical Social Worker | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Elizabeth H Zable | Rheumatology | Elizabeth H. Zable, M.d., P.a. | 16594 N Dale Mabry Hwy, Tampa, FL 33618-1325 |
| Sarah Drapela | Certified Nurse Midwife (cnm) | Florida Medical Clinic, LLC | 16650 N Dale Mabry Hwy, Tampa, FL 33618-1400 |
| Marty Odom | Internal Medicine | Florida Medical Clinic, LLC | 16646 N Dale Mabry Hwy, Tampa, FL 33618-1400 |
| Kristin Parchmon | Nurse Practitioner | Florida Hospital Physician Group Inc | 15602 N Dale Mabry Hwy, Tampa, FL 33618-1606 |
| Find all physicians in zip 33618 | |||
| City | TAMPA |
| Zip Code | 33618 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TAMPA + GENERAL SURGERY |
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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.