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Individual

MARILA MARTHA MARTINEZ MORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9701 WEEPING CHERRY CT, TAMPA, FL 33635-1088
(402) 606-9529
Mailing address
9701 WEEPING CHERRY CT, TAMPA, FL 33635-1088
(402) 606-9529

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11211987
FL
Enumeration date
12/30/2022
Last updated
05/11/2026
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