Individual
SUSAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15624 SW 127TH AVE APT 302, MIAMI, FL 33177-1421
(305) 519-0079
Mailing address
15624 SW 127TH AVE APT 302, MIAMI, FL 33177-1421
(305) 519-0079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9551289
FL
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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