Individual
ILEANA ROSE MARTIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
7010 SW 130TH LANE RD, OCALA, FL 34473-5276
(787) 604-8543
Mailing address
7010 SW 130TH LANE RD, OCALA, FL 34473-5276
(787) 604-8543
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
M636-416-79-721-0
FL
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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