Individual
MR. ANTWUAN DONNELL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10975 OSPREY GLADE TER, LAND O LAKES, FL 34638-0405
(813) 777-0899
Mailing address
PO BOX 1014, LAND O LAKES, FL 34639-1014
(813) 777-0899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6281C
AL
1041C0700X
Clinical Social Worker
Primary
SW24238
FL
Other
Enumeration date
02/13/2025
Last updated
09/03/2025
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