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1790770600
KENNETH MARTIN
TAMPA, FL
NPI
1790770600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS4318)
Enumeration Date
2005-09-16
Last Update Date
2015-04-23
Business Address
-- KENNETH MARTIN D.O.
9270 BAY PLAZA BLVD SUITE 640
TAMPA, FL 33619-4499
Phone number: 813-621-0130
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Mailing Address
-- KENNETH MARTIN D.O.
9270 BAY PLAZA BLVD SUITE 640
TAMPA, FL 33619-4499
Phone number: 813-621-0130
Copy
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