Individual
MR. JOSEPH PATRICK MARTIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2452 WOODFIELD CIR, W MELBOURNE, FL 32904-6654
(321) 205-3661
Mailing address
2452 WOODFIELD CIR, W MELBOURNE, FL 32904-6654
(321) 205-3661
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 1749
FL
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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