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1962996140
JEREMY SCOTT MARTIN
CLEARWATER, FL
NPI
1962996140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
JEREMY SCOTT MARTIN
2481 N.E. COACHMAN RD
CLEARWATER, FL 33765
Phone number: 727-797-9756
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Mailing Address
JEREMY SCOTT MARTIN
PO BOX 3146
PINELLAS PARK, FL 33780-3146
Phone number: 727-276-2579
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