Provider Demographics
NPI:1003804675
Name:GIRLING, MARTIN THOMAS (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:THOMAS
Last Name:GIRLING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N ALEXANDER ST
Mailing Address - Street 2:FOOT HEALTH CENTER
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4362
Mailing Address - Country:US
Mailing Address - Phone:813-754-3668
Mailing Address - Fax:813-752-0093
Practice Address - Street 1:210 N ALEXANDER ST
Practice Address - Street 2:FOOT HEALTH CENTER
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4362
Practice Address - Country:US
Practice Address - Phone:813-754-3668
Practice Address - Fax:813-752-0093
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 1783213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCJ2851OtherRAILROAD MEDICARE
65123Medicare ID - Type Unspecified
FL0569550001Medicare NSC
FLCJ2851OtherRAILROAD MEDICARE