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Individual

IDANIA MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, ARNP, NP-C

Contact information

Practice address
4835 E 4TH AVE, SUITE B, HIALEAH, FL 33013-1814
(305) 308-9937
Mailing address
8145 NW 7TH ST, APT 504, MIAMI, FL 33126-8004
(305) 308-9937

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9279693
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9279693
FL

Other

Enumeration date
03/09/2012
Last updated
04/16/2013
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