Individual
JERAMY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6117 GUNN HWY, TAMPA, FL 33625-4013
(813) 978-9700
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30357
FL
Other
Enumeration date
11/13/2024
Last updated
06/30/2025
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