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Individual

JAMIE MARIE ST. MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD, FAAO

Contact information

Practice address
4917 SW 56TH ST, OCALA, FL 34474-4754
(352) 804-9095
(352) 877-3253
Mailing address
4917 SW 56TH ST, OCALA, FL 34474-4754
(352) 804-9095
(352) 877-3253

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
3264-35
WI
152W00000X
Optometrist
Primary
OPC4763
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006674000
FL
Enumeration date
09/11/2012
Last updated
08/12/2020
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