Provider Demographics
NPI:1578803615
Name:FRANCIS, MARTIN WAYNE (RPSGT)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:WAYNE
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 NE 10TH ST
Mailing Address - Street 2:206
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-5677
Mailing Address - Country:US
Mailing Address - Phone:352-226-0225
Mailing Address - Fax:
Practice Address - Street 1:2631 NE 10TH ST
Practice Address - Street 2:206
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-5677
Practice Address - Country:US
Practice Address - Phone:352-226-0225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15401247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other