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Individual

MRS. SOFIA MONTOYA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
502 N MOBLEY ST, PLANT CITY, FL 33563-2904
(813) 341-7450
(813) 341-7461
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7568
(813) 349-7561

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP2853362
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302418100
FL
Enumeration date
07/10/2006
Last updated
01/13/2012
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