Individual
ADOLFO MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15271 NW 60TH AVE, MIAMI LAKES, FL 33014-2422
(305) 456-6700
(786) 870-5196
Mailing address
15271 NW 60TH AVE, MIAMI LAKES, FL 33014-2422
(305) 456-6700
(786) 870-5196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M635-013-77-448-0
—
FL
Enumeration date
08/19/2020
Last updated
08/19/2020
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