Provider Demographics
NPI:1033113428
Name:MARTIN, CATHERINE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4678 FRUITVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-1825
Mailing Address - Country:US
Mailing Address - Phone:941-379-9500
Mailing Address - Fax:941-379-9503
Practice Address - Street 1:4678 FRUITVILLE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-1825
Practice Address - Country:US
Practice Address - Phone:941-379-9500
Practice Address - Fax:941-379-9503
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82893OtherBLUE CROSS BLUE SHIELD
FL5591949OtherFIRST HEALTH
FLU4099ZOtherMEDICARE I.D.
FL5591949OtherFIRST HEALTH