Provider Demographics
NPI:1992829675
Name:MARTINO, DINO M (RPH)
Entity Type:Individual
Prefix:MR
First Name:DINO
Middle Name:M
Last Name:MARTINO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2925
Mailing Address - Country:US
Mailing Address - Phone:407-493-0757
Mailing Address - Fax:
Practice Address - Street 1:800 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2925
Practice Address - Country:US
Practice Address - Phone:407-493-0757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051294675183500000X
PARP040071L183500000X
KY013309183500000X
LA17596183500000X
NE12601183500000X
TN27060183500000X
ARPD10068183500000X
AZ16555183500000X
DEA1-0003858183500000X
ORRPH-0011601183500000X
AL18972183500000X
MD24042183500000X
MI5302043297183500000X
MST14007183500000X
FLPS39281183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist