Individual
VIVIAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 SW 10TH ST APT 4, MIAMI, FL 33135-4431
(786) 307-9822
Mailing address
3401 SW 10TH ST APT 4, MIAMI, FL 33135-4431
(786) 307-9822
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
20-404
FL
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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