Basic Information
| Provider Information | |||||||||
| NPI: | 1003804675 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GIRLING | ||||||||
| FirstName: | MARTIN | ||||||||
| MiddleName: | THOMAS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 210 N ALEXANDER ST | ||||||||
| Address2: | FOOT HEALTH CENTER | ||||||||
| City: | PLANT CITY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335634362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8137543668 | ||||||||
| FaxNumber: | 8137520093 | ||||||||
| Practice Location | |||||||||
| Address1: | 210 N ALEXANDER ST | ||||||||
| Address2: | FOOT HEALTH CENTER | ||||||||
| City: | PLANT CITY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335634362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8137543668 | ||||||||
| FaxNumber: | 8137520093 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2005 | ||||||||
| LastUpdateDate: | 07/14/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | PO 1783 | FL | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | 213ES0103X | PO 1783 | FL | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery |
ID Information
| ID | Type | State | Issuer | Description | CJ2851 | 01 | FL | RAILROAD MEDICARE | OTHER |