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1235127127
AGUSTIN ALFONSO MARTIN
TAMPA, FL
NPI
1235127127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME56110)
Enumeration Date
2005-10-13
Last Update Date
2014-04-01
Business Address
-- AGUSTIN ALFONSO MARTIN MD
1922 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6510
Phone number: 813-849-5437
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Mailing Address
-- AGUSTIN ALFONSO MARTIN MD
PO BOX 15876
TAMPA, FL 33684-5876
Phone number: 813-849-5437
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