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Individual

MRS. OLGA EMILIA MARTINEZ BOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12685 STARKEY RD, LARGO, FL 33773-1421
(727) 535-9901
(727) 535-8760
Mailing address
2289 HANNAH WAY S, DUNEDIN, FL 34698-9452
(727) 781-5976

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
9339667
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9339667
STATE LICENSE NUMBER
FL
Enumeration date
03/29/2016
Last updated
03/29/2016
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