All Kids Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME56110 Issued in FL

Legal business name

ALL KIDS CLINIC

Doing business as

Agustin a. Martin

Practice address

1922 W. Martin Luther King Jr. Blvd
Tampa, FL 33607-6510

Phone

(813) 849-5437

Fax

(813) 849-2624

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Agustin Alfonso Martin, M.D.NPI 1235127127

Title

President

Phone

(813) 849-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AGUSTIN A. MARTIN Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agustin Alfonso Martin, MD

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1235127127
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1306058144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15876",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336845876",
            "telephone_number": "813-849-5437",
            "fax_number": "813-849-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 W. MARTIN LUTHER KING JR. BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076510",
            "telephone_number": "813-849-5437",
            "fax_number": "813-849-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL KIDS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "AGUSTIN",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-849-5437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME56110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037954900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGUSTIN A. MARTIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.