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Individual

ELIZABETH ANN MARKS DE MARTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ARNP

Contact information

Practice address
1801 SE 32ND AVE, OCALA, FL 34471-5532
(352) 629-0137
Mailing address
19050 SE 47TH PL, MORRISTON, FL 32668-3959
(352) 528-9069

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
423106
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9215632
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306491300
FL
Enumeration date
04/18/2006
Last updated
06/30/2011
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