Individual
EMILY SULLIVAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, PEDIATRIC HEART AND LUNG TRANSPLANT, GAINESVILLE, FL 32610-0223
(352) 265-0665
(352) 265-0057
Mailing address
PO BOX 100223, GAINESVILLE, FL 32610-0223
(352) 265-0665
(352) 265-0057
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9308027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016017000
—
FL
Enumeration date
07/02/2015
Last updated
07/17/2017
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