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Individual
AMILYS GARCIA MARTIN
Active
Individual
AMILYS GARCIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
ME90674
FL
363L00000X
Nurse Practitioner
Primary
11004867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G625000785070
DRIVERS LICENSE
FL
Enumeration date
10/09/2019
Last updated
04/05/2022
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