DR. JACOB RYAN MARTY DO
NPI 1295419844
Student in an Organized Health Care Education/Training Program in Winter Garden, FL
About Dr. Jacob Ryan Marty Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB RYAN MARTY DO (NPI 1295419844) is an individual student in an organized health care education/training program in Winter Garden, Florida, licensed in Florida (9065) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacob Ryan Marty Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINTER GARDEN, FL 34787
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295419844, enumerated as an "individual" on June 14, 2023.
The provider is located at 2000 FOWLER GROVE BLVD WINTER GARDEN, FL 34787 and the phone number is (407) 614-0500.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
