Individual
DIANA MARTIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5000
Mailing address
7010 SW 130TH LANE RD, OCALA, FL 34473-5276
(787) 431-4255
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
TN 43034
FL
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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