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Dr. Martin Frederik Dietrich, MD,PHD
Hematology & Oncology Physician in Rockledge, Florida
NPI 1669790119

Martin Frederik Dietrich is a Hematology & Oncology Physician based in Rockledge, FL and is specialized in Hematology & Oncology. Martin Frederik Dietrich practices in Rockledge, FL and has the professional credentials of MD,PHD. The NPI Number for Martin Frederik Dietrich is 1669790119 and holds a License No. (Florida).

The current practice location address for Martin Frederik Dietrich is 1048 Harvin Way, Rockledge, FL and can be reached out via phone at 321-636-2111 and via fax at 321-636-7180.

Location: 1048 Harvin Way, Rockledge, FL, 32955-3229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669790119
Provider Name
Martin Frederik Dietrich
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
1048 Harvin Way, Rockledge, FL, 32955-3229
Phone Number
321-636-2111
Fax Number
321-636-7180
Provider Enumeration Date
05/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018189900 05 FL
institution
Provider Business Practice Location Address Details
Address
1048 Harvin Way
City
Rockledge
State
Florida
Zip
32955-3229
Phone Number
321-636-2111
Fax Number
321-636-7180
person
Provider Business Mailing Address Details
Address
1048 Harvin Way
City
Rockledge
State
Florida
Zip
32955-3229
Phone Number
321-636-2111
Fax Number
321-636-7180
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
ME128710 (Florida)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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