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Individual
MIGUEL MARTIN
Active
Individual
MIGUEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW 301
FL
363AS0400X
Surgical Physician Assistant
15-205
FL
Other
Enumeration date
11/14/2014
Last updated
10/12/2015
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