Organization · Type 2 NPI

Martin Memorial Medical Center Inc

General Practice Physician · Jensen Beach, FL

NPI number 1134058340 Active

Practice location

3496 NW Federal Hwy Ste F
Jensen Beach, FL 34957-4441

Call (772) 223-4916 Map

Mailing address

6801 Brecksville Rd, Ste 20, Attn: Dpc RK2-7
Independence, OH 44131-5062

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

3 other providers at this address

NPI record

NPI: 1134058340
Entity type: Organization (Type 2)
Issued: May 14, 2026
Last updated: May 29, 2026
Status: Active

Other names

Cleveland Clinic Martin North, South, Tradition Hospitals · doing business as

Authorized official

Dennis Lee Laraway
Executive VP Chief Finance Officer
(216) 445-1343

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134058340

Martin Memorial Medical Center Inc's National Provider Identifier is 1134058340, issued on May 14, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jensen Beach, FL. The record was last updated on May 29, 2026.