Individual
CHARMAINE ALECIA MARTIN-CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1133 SAXON BLVD, ORANGE CITY, FL 32763-8425
(386) 878-4137
Mailing address
1133 SAXON BLVD, STE 200, ORANGE CITY, FL 32763-8425
(386) 228-9700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9281851
FL
Other
Enumeration date
01/02/2018
Last updated
10/27/2019
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