Martin, Shakela

Martin, Shakela is an individual health care provider with primary practice located at 850 6Th Ave S Ste 500 , Jacksonville Beach FL 32250-4200. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Martin, Shakela can be contacted via phone (904) 224-3550.

Contact Information

Primary practice address
850 6Th Ave S Ste 500 Jacksonville Beach FL 32250-4200
Phone: (904) 224-3550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN20613 Florida

Profile Details

NPI number 1639582943
LBN Legal business name Martin, Shakela
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2014
Last updated Feb 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639582943 NPPES
Florida MEDICAID 015049300

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