Individual
DR. GERALD RICHARD MART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 W LANCASTER RD, SUITE 2, ORLANDO, FL 32809-4927
(407) 373-6956
(407) 373-6956
Mailing address
3500 CONNOR AVE, ORLANDO, FL 32808-3636
(305) 785-6255
(407) 373-6957
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
M630296521860
FL
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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