Provider Demographics
NPI:1629496815
Name:MARTIN, ANGEL IRAN JR (MD)
Entity Type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:IRAN
Last Name:MARTIN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1150 N 35TH AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-5424
Mailing Address - Country:US
Mailing Address - Phone:954-362-3426
Mailing Address - Fax:954-362-3432
Practice Address - Street 1:1150 N 35TH AVE STE 240
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5424
Practice Address - Country:US
Practice Address - Phone:954-362-3426
Practice Address - Fax:954-362-3432
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2022-10-31
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Provider Licenses
StateLicense IDTaxonomies
FLME154602207RC0200X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine