Individual
ALMA F MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19212 LAKE KING DRIVE, ALTOONA, FL 32702
(407) 545-9303
Mailing address
PO BOX 424, ALTOONA, FL 32702
(407) 545-9303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5194905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105429200
—
FL
Enumeration date
03/23/2021
Last updated
03/23/2021
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