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Robert Allen Martin Jr.

Anesthesiologist Assistant in Tallahassee, FL. Individual provider (NPI-1).

NPI number1235792011
StatusActive
Last updated in NPPESNov 21, 2023

Details

NPI
1235792011
Entity type
Individual (NPI-1)
Name
Robert Allen Martin Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2019
Certification date
Nov 21, 2023
Last updated
Nov 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant––Yes
367H00000X Anesthesiologist AssistantANT.0000225CO

Practice location

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone 850-776-9167

Mailing address

4280 Old Plantation Loop
Tallahassee, FL 32311-1302

Phone 850-776-9167

Other practice locations

12605 E 16th Ave
Aurora, CO 80045-2545

Phone 720-848-0000

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