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Organization
PARKER A. MARTIN, PA
Active
Organization
PARKER A. MARTIN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARKER ANN MARTIN,M.S., CCC-SLP SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(954) 249-2430
Entity
Organization
Contact information
Practice address
4500 NORTH FEDERAL HWY, APT 318B, LIGHTHOUSE POINT, FL 33064
(954) 249-2430
(954) 947-6199
Mailing address
PO BOX 23956, OAKLAND PARK, FL 33307
(954) 249-2430
(954) 947-6199
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA15518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018911400
—
FL
05
—
022603800
—
FL
01
—
SA15518
SPEECH LANGUAGE PATHOLOGIST
FL
Enumeration date
07/01/2017
Last updated
05/13/2022
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