Individual
RANDY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5150 BAYOU BLVD, STE 1N, PENSACOLA, FL 32503-2158
(850) 416-7656
(850) 416-7348
Mailing address
32345 RIVERLAKE RD, SEMINOLE, AL 36574-2793
(251) 988-1437
(850) 416-7348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
07/09/2007
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