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Individual

MATTHEW MICHAEL MARTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
PO BOX 102, TALLEVAST, FL 34270-0102
(727) 804-6863
Mailing address
PO BOX 102, TALLEVAST, FL 34270-0102
(727) 804-6863

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5254504
FL

Other

Enumeration date
09/25/2023
Last updated
03/18/2025
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