Individual
DR. ALISIA SHART MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1538 THE GREENS WAY, SUITE 101, JACKSONVILLE BEACH, FL 32250-2499
(904) 543-0161
(904) 543-9172
Mailing address
1538 THE GREENS WAY, SUITE 101, JACKSONVILLE BEACH, FL 32250-2499
(904) 543-0161
(904) 543-9172
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME0071972
FL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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