Male or Other

Dr. Gaines C. Martin MD

Family Medicine Physician in Orange Park, FL(View on Map)

Full Name

Dr. Gaines Charles Martin MD

NPI Number

1639103021

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/10/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME81545

Contact
Information

Purpose

Mailing
Location

Address

1409 KINGSLEY AVE, SUITE 9G
1409 KINGSLEY AVE, SUITE 9G

City

Orange Park
Orange Park

State

FL
FL

Postal Code

32073
32073

Country

US
US

Telephone Number

(904) 637-0007
(904) 637-0007

Identifiers

Identifier

2687947
279755
51002
59-3720215
266202700

Identifier State

Unknown
Unknown
Unknown
FL
FL

Identifier Issuer

AETNA HMO
AVMED
BCBS MEDICARE
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/15/2013

Provider Address

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