Individual
MS. DEBRA JEAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2366 TANGERINE DR, SARASOTA, FL 34239-5307
(941) 928-7975
Mailing address
2366 TANGERINE DR, SARASOTA, FL 34239-5307
(941) 928-7975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 48035
FL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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