Provider Demographics
NPI:1932735768
Name:SHUGAR, MARTIN ALVIN
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ALVIN
Last Name:SHUGAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 HOLLYWOOD BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6746
Mailing Address - Country:US
Mailing Address - Phone:954-559-4253
Mailing Address - Fax:
Practice Address - Street 1:3850 HOLLYWOOD BLVD STE 401
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6746
Practice Address - Country:US
Practice Address - Phone:954-559-4253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39239207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty