Individual
WILMA JEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HWY 41 NORTH, PCS PHOSPHATE SWIFT CREEK, WHITE SPRINGS, FL 32096
(386) 397-8781
(386) 397-8720
Mailing address
P.O.BOX 300, PCS PHOSPHATE HWY 41N, WHITE SPRINGS,, FL 32096
(386) 397-8781
(386) 397-8720
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME32862
FL
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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