Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Martin, CCP

Individual provider Perfusionist · NPI 1578031860

Mark Martin, CCP is a Perfusionist in Gainesville, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone: (352) 333-4180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X

Record details

NPI number1578031860
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorYes
NPI enumeratedNovember 5, 2018
Last updated in NPPESNovember 5, 2018