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

Mr. Derrick J Martin Sr., MD

Individual provider Surgery Physician · NPI 1104980812

Mr. Derrick J Martin Sr., MD is a Surgery Physician in Summerfield, Florida. Licensed in Florida and Louisiana. Registered with an NPI since 2006.

Licensed in
FL, LA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10770 SE 173rd St
Summerfield, FL 34491-6851
Phone: (352) 425-7321
Fax: (352) 748-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME100133 (FL)
Surgery Physician Taxonomy 208600000X · Licence MD205035 (LA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence ME100133 (FL)

Record details

NPI number1104980812
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022