Individual
BRYAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
674 PIONEER RD, JUPITER, FL 33458-9011
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112900
FL
Other
Enumeration date
11/08/2019
Last updated
11/25/2025
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