KEN MARTIN DO LLC

TAMPA, FL
NPI1467833525
Entity TypeOrganization
Authorized ContactKENNETH MARTIN
Owner
813-376-0734
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS4318)
Enumeration Date2015-06-15
Last Update Date2015-06-15
Business Address
KEN MARTIN DO LLC
9270 BAY PLAZA BLVD STE 640
TAMPA, FL 33619-4499
Phone number: 813-376-0734
Mailing Address
KEN MARTIN DO LLC
9270 BAY PLAZA BLVD STE 640
TAMPA, FL 33619-4499
Phone number: 813-376-0734
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