Individual
MRS. ROSA M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 NE 55TH BLVD, GAINESVILLE, FL 32641
(352) 375-8484
Mailing address
7114 SW 97TH LANE, GAINESVILLE, FL 32608
(352) 337-9007
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0055868
FL
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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