Individual
LISA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3712 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL 34787-5483
(407) 656-2229
Mailing address
1718 HAWKSBILL LN, SAINT CLOUD, FL 34771-7546
(407) 758-6451
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9283912
FL
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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