Individual
BRANDON MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1884 SW 81ST WAY, DAVIE, FL 33324-4609
(786) 219-8152
Mailing address
1884 SW 81ST WAY, DAVIE, FL 33324-4609
(786) 219-8152
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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