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DR. MARTIN R AUSTRIA MD
Anatomic Pathology & Clinical Pathology >> Pathology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1902885999
Individual Registrant:DR. MARTIN R AUSTRIA MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2100 PREVATT ST EUSTIS, FL 32726-6130 US
Tel: 352-308-8903 Fax: 352-460-0785
Tel: 352-308-8903 Fax: 352-460-0785
Contact information for business:
12920 SUGARBLUFF RD CLERMONT, FL 34715-6834 US
Tel: 352-394-6901 Fax: --
Tel: 352-394-6901 Fax: --
Registration Information:
NPI: 1902885999
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207ZP0102X | Allopathic & Osteopathic Physicians Pathology Anatomic Pathology & Clinical Pathology | FL | ME76165 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| GROUP NPI | 1265798870 | FL | 01 |
| 257693700 | FL | 05 |
