Individual
JACQUELINE MARTIN-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LPN, MLD-C
Contact information
Practice address
3837 N ECONLOCKHATCHEE TRL STE 110, ORLANDO, FL 32817-1600
(800) 289-3088
Mailing address
18739 NATCHEZ ST, ORLANDO, FL 32833-4108
(800) 289-3088
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN-1290081
FL
225700000X
Massage Therapist
Primary
MA-49923
FL
Other
Enumeration date
08/23/2022
Last updated
06/14/2024
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