Individual
YANET MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
7522 N HIMES AVE, TAMPA, FL 33614-3205
(813) 931-0500
Mailing address
5812 N FREMONT AVE, TAMPA, FL 33603-1108
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7836
FL
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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