Provider Demographics
NPI:1639128168
Name:RIFKIN, MARTIN NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:NEIL
Last Name:RIFKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4881 NW 8TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4582
Mailing Address - Country:US
Mailing Address - Phone:352-373-6338
Mailing Address - Fax:352-373-6144
Practice Address - Street 1:1179 NW 64TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4218
Practice Address - Country:US
Practice Address - Phone:352-333-5400
Practice Address - Fax:352-333-5404
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2009-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0062982208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL26853OtherBCBS
FL214878OtherAVMED
FL214878OtherAVMED
FL26853ZMedicare ID - Type Unspecified