Individual
ROBERTO MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1051 GROVE PARK BLVD, JACKSONVILLE, FL 32216-3227
(904) 349-9381
Mailing address
1051 GROVE PARK BLVD, JACKSONVILLE, FL 32216-3227
(904) 349-9381
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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