Individual
MARTINE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9555 SW 162ND AVE, MIAMI, FL 33196-6408
(786) 467-2060
Mailing address
13959 SW 179TH ST, MIAMI, FL 33177-7744
(786) 992-9550
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11021344
FL
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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