David Martin, | |
8400 Astronaut Blvd, Cape Canaveral, FL 32920-4302 | |
(321) 450-2335 | |
Not Available |
Full Name | David Martin |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 8400 Astronaut Blvd, Cape Canaveral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861043648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11004207 (Florida) | Primary |
Entity Name | Randall B Rigdon Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982892501 PECOS PAC ID: 8921189002 Enrollment ID: O20080115000287 |
Mailing Address | Practice Location Address |
---|---|
David Martin, 6972 Willow Ct, Melbourne, FL 32940-7957 Ph: (850) 621-2249 | David Martin, 8400 Astronaut Blvd, Cape Canaveral, FL 32920-4302 Ph: (321) 450-2335 |
Teeraporn Wells, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 Caroline St Ofc, Cape Canaveral, FL 32920 Phone: 321-848-5393 | |
Trisha Lorraine Beylin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8400 Astronaut Blvd, Cape Canaveral, FL 32920 Phone: 321-450-2335 Fax: 321-450-2319 | |
Mrs. Katie Anne Sherrill, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8931 Lake Dr Apt 501, Cape Canaveral, FL 32920 Phone: 321-474-3409 |