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SANDY MARTIN DERMATOLOGY LLC NPI 1265856256


NPI Information

NPI: 1265856256
Provider Name: SANDY MARTIN DERMATOLOGY LLC

Doing Business As: MARTIN DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
13641 METROPOLIS AVE
STE 102
FORT MYERS, FL
ZIP 33912
Phone: (239) 208-4408
Get Directions

SANDY MARTIN DERMATOLOGY LLC is a dermatology in Fort Myers, FL. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SANDY MARTIN DERMATOLOGY LLC NPI is 1265856256. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Martin Dermatology.

The provider's business location address is:

13641 METROPOLIS AVE
STE 102
FORT MYERS, FL
ZIP 33912-433
Phone: (239) 208-4408
Fax: (888) 990-1670

The provider's authorized official is Sandy Martin .
The authorized official title is Chief Executive Manager and has the following contact phone number (239) 208-4408.

The enumeration date for this NPI number is 2/11/2014 and was last updated on 8/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyME30746FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D63006MEDICARE UPIN
2HS963AOTHERFLORIDAMEDICARE PTAN
393792TOTHERFLORIDAMEDICARE PTAN FOR SANDY MARTIN MD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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