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Individual

JEREMY M MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4767 DRANE FIELD RD, LAKELAND, FL 33811-1220
(863) 816-5858
(863) 816-5837
Mailing address
4767 DRANE FIELD RD, LAKELAND, FL 33811-1220
(863) 816-5858
(863) 816-5837

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
05/28/2009
Last updated
05/28/2009
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