Individual
MARYANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1051 PORT MALABAR BLVD NE, SUITE 6, PORT MALABAR PROFESSIONAL BLDG, PALM BAY, FL 32905-5153
(321) 727-9063
Mailing address
1051 PORT MALABAR BLVD NE, SUITE 6, PORT MALABAR PROFESSIONAL BLDG, PALM BAY, FL 32905-5153
(321) 727-9063
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9168017
FL
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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