Individual
AISLYN MARTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3425 BAYSIDE LAKES BLVD SE STE 110, PALM BAY, FL 32909-6867
(321) 361-5563
(321) 952-9406
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5563
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN9363022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501100
—
FL
01
—
L9712
FL MEDICARE
FL
Enumeration date
07/31/2018
Last updated
01/17/2024
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