Individual
MS. DESTINY CHANTE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3001
(352) 594-1942
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3001
(352) 594-1942
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118804
FL
Other
Enumeration date
01/31/2022
Last updated
08/18/2025
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