Individual
MARTINEAU DANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 LANTANA RD, LANTANA, FL 33462-1733
(561) 324-3831
Mailing address
1077 FAIRFAX CIR W, BOYNTON BEACH, FL 33436-8602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9364017
FL
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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