Individual
JACOB COURTLYN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3310 SW 34TH ST, OCALA, FL 34474-7422
(352) 873-0707
(352) 873-9615
Mailing address
3310 SW 34TH ST, OCALA, FL 34474-7422
(352) 873-0707
(352) 873-9615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9408905
FL
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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