Individual
MARK MARTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15271 MCGREGOR BLVD STE 17, FORT MYERS, FL 33908-1900
(239) 433-2060
(239) 433-0925
Mailing address
15271 MCGREGOR BLVD STE 17, FORT MYERS, FL 33908-1900
(239) 433-2060
(239) 433-0925
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY103
FL
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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