Individual
REBECCA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-8588
(321) 841-8560
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-8588
(321) 841-8560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP1759172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000648400
—
FL
01
—
ARNP1759172
MEDICAL LICENSE
FL
Enumeration date
02/13/2009
Last updated
11/15/2016
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