Individual
NICHOLAS MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
289 SW STONEGATE TER STE 103, LAKE CITY, FL 32024-3457
(386) 755-1655
(386) 628-9231
Mailing address
104 WOODMONT BLVD STE 500, NASHVILLE, TN 37205-2245
(615) 783-1070
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APRN11031869
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11031869
FL
Other
Enumeration date
01/03/2024
Last updated
05/06/2024
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