Gaines C Martin MD PHD PA

NPI #1265627541 in Orange Park, Florida

Provider Information

NPI Number: 1265627541
Entity Type: Organization
Organization Name: Gaines C Martin MD PHD PA
Primary Specialty: Family Medicine
Enumeration Date: Sep 11, 2007
Last Updated: Apr 8, 2020

Practice Location

Address: 1409 KINGSLEY AVE STE 9G
City: Orange Park
State: Florida
ZIP Code: 32073-4579
Phone: (904) 637-0007

Authorized Official

Name: GAINES CHARLES MARTIN
Title: OWNER
Phone: (904) 637-0007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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