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)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