Individual
MS. MARKENTA MARTIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E MILLER ST, ORLANDO, FL 32806-2123
(407) 246-6620
Mailing address
101 E MILLER ST, ORLANDO, FL 32806-2123
(407) 246-6620
(407) 246-6621
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11023283
FL
Other
Enumeration date
12/05/2022
Last updated
01/08/2025
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