Individual
MARTHA ISABEL PENARANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17615 FRANJO RD, PALMETTO BAY, FL 33157-5636
(786) 268-2611
(786) 268-1748
Mailing address
17615 FRANJO RD, PALMETTO BAY, FL 33157-5636
(786) 268-2611
(786) 268-1748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
FL
Enumeration date
07/12/2017
Last updated
07/12/2017
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